2004, 06-08 Permit App: BLD-04-04530 ReroofMAY 18 2004 09:58 FR
opomne
.0.0 Valley
TO 8910527
-43
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, .Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
P.01/06
REQUIRED SITE INFORMATION
Street Address: 3615 S wnntlrnff
Assessor's Tax Parcel Number(s):
Legal Description:
R.1 Spnkana Valley WA QS206
Tear o
PERMIT DESCRIPTION: New roof i nsta 1 1 at i on wi th FLk hr -And 4.0 ypa.r ma± n :1
B Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
L3 Tenant Improvement ❑ Fire Safety 0 Other
r
OWNER/APPLICANT INFORMATION
Owner.
Phone:
Address:
Fax:
City
0 Applicant:
Phone:
it Address:
State City
Contractor:Nat' 1 Roof Care Corp. ,�4 Architect:
Phone:926-0762 Fax: 891-0527 5 Phone:
Address' 13801 E. Trent Ave. Address:
Spokane Va11ey WA g9916
City City
State Zip Code
WA State Contractor License #; NATIORC083N5
Fax:
State Zip Code
Fax:
State
Contact: Roger D. Boucher
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
MAIN FLOOR TO SQ. FTG:
FINISHED BASEMENT SQ. FTG:
OCCUPANCY GROUP:
# OF BEDROOMS:
COST OF PROJECT:
9,888.00
DIMENSIONS:
2"°' FLOOR SQ. FTG:
GARAGE SQ. FTG:
CONSTRUCTION TYPE:
TOTAL HABITABLE SPACE:
30% SLOPES ON PROPERTY:
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
DECK/COV. PATIO SQ. FTG:
HEAT SOURCE:
IMPERVIOUS SURFACE AREA:
SEWER OR ON-SITE SEPTIC
SYSItM7
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
Check
0 Cash
Sankcard #:
0 Mastercard
Authorized Signature:
Expires:
❑ VISA
❑ Other
VIN#: