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2013, 03-08 Permit App: BLD-2013-0375 Tear Off, Reroof AR-08-2013 02:2 From:PERRENOUD ROOFING 4837106 To: 380037 P.1/1 Permit Center -Z013-0 3J� • S .ieNzaftaft 11707 E Sprague Ave,Suite I PERMIT NUMBER: Spokane Valley,WA 99206 : . Val V (509)688-0036 FAX:(509)688-0037 FEE: ' /Z�75 Community Developmc K' v-sookatievalley.orb,coin (0D r Residential Construction o New Construction o Accessory Bldg Permit Application o Addition/Re del ; to Deck © Otbe>r: SrrE ADDRESS ` L4 J( :-T-s---61--N. C )9-6 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Omer Contractor.. • :; ':�' •• Name: 1 � (-L o S frG t `E'�Un_....� Name: a rt r ` .. .rte Address: �S lr((a (q ^ Address:? 1%., . A City:.,Sp D . 11 4,tte Zip: QQ O37 _ Ci i► to 4 Zi.: '✓ .O 7 Phone: 1 Pax: Phone:(-14 -.• too . Fax: e-a-3--706 Lie No:taf(Q( ' 1244, Exp.Date: Contact'Person';. .: : • •'' • :" . ,r.,. . ..z. --u.:,,,,_.••••.:n- ,•,'• Gild Business LIG No: Name: Lai-itiC4.A ► .Mir ad ._---- Pho -- Describe the scope of work in detail: Cost of Project: $ I , 7v9 "°p - r-� r �~ _ **************The following MUST be complete: (write N/A,if not applieable)**********t********tea HEIGHT TO PEAK; DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE MAIN FLOOR TO—§ei7-2717 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 This document originally contained confidential credit card The permifee verifies,acknowledges and agrees by their signature that: information which was redacted pursuant to RCW 19.255.010 dwelling is/will be served by potable water. 2) Ownership of this City of and the original document destroyed pursuant to SOS DAN signatory is the property owner or has permission to represent the props G52014-030. in full compliance with the City of Spokane Valley Development Code. F Spokane Valley Permit Center. 5) This City of Spokane Valley Permit i; local laws,codes or ordinances.6) Plans or additional information may this application can be proc ed. Signature Date , 3"'0--13 Method of Payment: (Faxed permit applications will only be accepted with major benkcard) D Cash 0 Check 0 Mastercard g' VISA Bankcard ft: REDACTED• ExptresREDACTED VINO. REDAbS Authorized Signature: __.... �--_. REVISED erls2oas �