2013, 04-08 Permit App: BLD-2013-0589 Tear Off, Reroof1,4
.P9-,2013 :9:46 Fr om: PERRENOUD ROOFING 4837106. To:6880037 P 1/1
d e. S�. �r',� Permit Center
pokane 11707 E Sprague Ave, Suite
N on .0000
Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development !vwni.pokanevallev,orc.con
(t8 -2o0 -05n
COP
106PERMIT NUMBER!
PERMIT FEB: S7. 7J
Residential Construction
Permit Application
o New Construction
o Addition/Retire'
❑ Other: .y
o Accessory Bldg
o Deck
SITE ADDRESS 7 51 r 2eIJef lam/
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building owner
Name: C`'
N: I I 2eeicer
Address: 7,3 l 2 r ele.kjeriy
City: Zip:
Phone: Fax:
Contact Per'san'.
Name: &UAfvfcA rarreMIta
Phone:
qR44.—(27elf
Describe the scope of work in detail:
.Contractor ; _
DIMENSIONS:
Name: 8rrpf1P)4ifk 1c.rDOZlr11°3.- Tn C
Address: , DOX 717L4 U
rt? ()
City:Sp:Wv /t.. t1/4.)
}`)- Zip: c .2,0 7
Phone: 9,1-3 - WOO
Fax: 4/kt-.- 7/06
Lic No:tatran qtA JZA
Exp. Date:
City Business Lie No:
DECK/COV. PATIO SO. FTG:
Cost of Project:
&y ver
too c°
************• *The fo)lowing MiJST be complete•
The pernfee verifies. acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water_ 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory Is the property owner or has pemrisslon to represent the property owner In this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
this application can be proce ed.
Signature _-�
'
Date LI- £s=
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
0 Cashck 0 Mastercard
Bankcard rat. - REDACTED Expires: Antal:
-
Authorized Signature:
REVISED e2S OGS
0 Other
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to 505 DAN
GS2014-030.
DIMENSIONS:
•. `....w A. lin u ay. spina:11 sed
# OF STORIES:
'-"^^"' az_scsmtttxttet
TOTAL HABITABLE SPACE:
HEIGHT TO PEAK:
MAIN FLOOR TO SQ.
FTG:
2 ' FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ_ FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SO. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE;
HEAT SOURCE:
SEWER OR SEPTIC?
DISCLAIMER
The pernfee verifies. acknowledges and agrees by their signature that 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water_ 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory Is the property owner or has pemrisslon to represent the property owner In this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional Information may be required to be submitted, and subsequently approved before
this application can be proce ed.
Signature _-�
'
Date LI- £s=
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
0 Cashck 0 Mastercard
Bankcard rat. - REDACTED Expires: Antal:
-
Authorized Signature:
REVISED e2S OGS
0 Other
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to 505 DAN
GS2014-030.