2013, 03-08 Permit App: BLD-2013-0377 Tear Off, Reroof 11;PR-08-2013 08:42 From:PERRENOUD ROOFING 4837106 To:6880037 P.111
■� �, �,,, Permit Center l��-ZDI* —0 377
■� She 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
■ � Spokane valley,WA 99206 PERMIT FEE:
■. a (509)688-0036 FAX:(509)688-0037IZ j.-75j
Community Development w+vtv.sUobnevalley.o1:1co:n COPY
Residential Construction o New Construction ❑ Accessory Bldg
Permit Application ❑ Addition/Re del •; o Deck
❑ Qthey: f
SiTE ADDRESS ..3 ISL I L1 C 1 14
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
r Building owner .-. ... Contractor• •
Name: i e... ...• °�, . _ i
Address: 1$1{6 S E I q - Address: t?. 30x 7174
Ci �l alt e rQ437 4 Ci _..�t. 3 Zip: 942,0 7
Phone: Fax Phone: --WOO . Fax: &s,3--7/C),
Cpptacit P r Lio No. tY2 Q a.13 P.Date:
�.
Name: ,.g /� affem - z:• CEtY Business LicNo:
Phone: ��
qq4{-raps _
Describe the scope of work in detail: Cost of Project1 $ I S, 7o'�g`
(�(� re.rcaI
**************The followinwyrite N/MUST be com lLete: ***
.�. ( A,if not appl}ca61�- **+� +�
*** #*****,r***t4
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE
MAIN FLOOR TO SQ. �2°j 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 permttee 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 iin this transaction. 4) Alt 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 pro ed.
Signature _ Date . 3-- —I
Method of Payment: (Faxed permit applications will only be accepted with major benkoani)
0 Cash Mastercard E.
Benkcard it: REDA `k
- — VISA C) OtherE�rprr�as:i"REDACTELS"t' REDACT to
Authorized Signature:mvi �
ssoe2s000s This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to SOS DAN
652014-030.