Loading...
2013, 11-19 Permit App: BLD-2013-2393 Reroof• Community Development Department (Staff Use Only) Permit Center c»yoF 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER: Spokane Tel: (509) 720-2540 Spokane Valley, WA 99206 PERMIT FEE: Valley Fax: (509) 688-0037 .00permitcenter©spokanevallev.orq c n,' '�-V 1Project x. -G01� - 23 (- � CONSTRUCTION PERMIT APPLICATION ❑ NEW CONSTRUCTION ❑ DECK ❑ ADDITION/REMODEL ® OTHER SITE ADDRESS:15923 E. LONGFELLOW AVE. ASSESSORS PARCEL NO.:45012.2310 ❑ ACCESSORY BUILDIN fc1/ PPPr\IIT r`F_NTER LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME:STEPHEN & ROBBI BERGLAND ADDRESS:15923 E. LONGFELLOW CITY:SPOKANE VALLEY PHONE:509-590-8809 CONTACT NAME:STEVE BERGLAND STATE:WA Zip:99216 FAx: CELL: PHONE:509-590-8809 FAX: CELL: CONTRACTOR NAM E: N/A SELF PERFORM MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE: STRIP OLD ASPHALT SHINGLES AND RE ROOF ****YOU MUST COMPLETE THE FOLLOWING**** MARK N/A IF NOT APPLICABLE Height to Peak: Dimensions: No. of Stories: Total Habitable Space: Main Floor SQ FT: Upper Floor SQ FT: Unfinished Basement SQ FT: Finished Basement SQ FT: Garage SQ FT: Deck/Covered Patio SQ FT: Impervious Surface Area: 30% Slopes on Property: No. of Bedrooms: Construction Type: Heat Source: Sewer or Septic: TOTAL COST OF PROJECT: $3000 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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 permission 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) The 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 processed. Signature Date: /ill p// Updated 1-11-11 http://www. spoka nevalley.org/fi lestorage/ 124/938/210/948/1496/2743/Res_Permit. doc Page 1 of 1