2008, 03-21 Permit App: 08001024 Tear Off, Reroof Permit Center
mane 11707 E'Sprague Ave,Suite 106 PERMIT NUMBER: i 07 i.�
Spokane Valley,WA 99206 f
'5 1 (509)688-0036 FAX: (509)688-0037 PERMIT FEE: I Z / ` -
Community Development ww,m.spbkanevalley.orsz.com /
Residential Construction o New Construction o Accessory Bldg
Permit Application o Addition/Remodel o Deck
o Other:
SITE ADDRESS 1 1 It- t0 L 1
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
Building owner �] Contractor. n
Name: 3b.k3 100/06 Name: Pef«0 Ron .. .1nc.,
Address: 11 14 l b e c- Address: 9.0• at,/ 717q
City: s ge K,p4,1e, Zip: 'VI (.0 City:, koene_ Zip: 7O7
Phone:1^ 253^74(^/o'F'aqq��x: Phone:4 3-7100 Fax: `j3- 7/06
Lic NoPe rrtri`IW{RI4 Exp.Date: b- 2.3-0 7
Contact Person =
Name: D� City Business Lic No:
Phone: 9-pi- 5.193
Describe th-- : +pe o work in de ivy • Cost of Project: $ 5, ;t o - OCA
./ - O 0-F 10. r tier
*****The o i T wmgMUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2""FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE
FTG: AREA:
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30%SLOPES ON
SQ. FTG: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
DISCLAIMER
The permitee 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 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) 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 processed.
Signatur- Date ''� a
Mel . . _ y ., • , • . -• ..-••- ..lication. will only be accepted with major ba rd)
0 Cash 0 Check 0 Mastercard VISA 0 Other
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 825/2005