2006, 07-13 Permit App: 06002719 Reroof I.L:VL `JObG .I nu
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Spokane City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
4000,\'alley! Spokane Valley, WA 99206
Phone: (509) 688-0036;Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: -
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation
❑ Tenant Improvement ❑ Fire Safety ❑ Other
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OWNERJAPPLICANT INFORMATION
A Owner. /el.ekt)( ,39,7 ❑ Applicant:
Phone: • Fax: Phone: Fax:
A•• -ss: T9. ' _ .-
� _ , ` r Address:
State Zip Code City State Zip Code
® Contractor: 1 .r ; , , i, 'd i.. i ❑ Architect
Phone: _, _ ° _ Fax: ,'_ • - Phone: Fax:
'°`c,d{e . . - ,' . •i. /„Ar_ A , Address:
Jp,1lv11 99 ? .
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City State Zip Code
WA State Contractor License#ffir_adJ0(ial • Contact: el/a9 Pi1zs'
PERMIT/BUILDING INFORMATION •
HEIGHT TO PEAK DIMENSIONS: #OF STORIES:
MAIN FLOOR TO SQ. FTG: 2""FLOOR SQ. FTG UN-FIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: ' GARAGE SQ. FTG:
• DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE
#OF BEDROOMS: ii TOTAL HABITABLE SPACE: IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 30%SLOPES ON PROPERTY:- SEWER OR ON-SITE SEPTIC
SYSTEM?
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ecg Mastercard
® VISA ❑ Other
A �
Bankcard f Ther-,-document originally contain#: _ •
confidential credit card information which
Authorized Signature: ,A IX,/,
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030. c4;n :?0 90 EI I n c