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2005, 06-06 Permit App: 05001674 Reroof Project Number: 05001674 Inv: 1 Application Date: 06/06/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: Permit Use: REROOF Contact: BARTON ROOFING Address: 5423 E UNION C-S-Z: SPOKANE,WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509)535-3768 Group Name: Project Name: Site In ormation: Plat Key: 001966 Name: PAUL ADD District: F Parcel Number: 45273.2702 Block: Lot: SiteAddress: 12616 E 26TH AVE Owner:Name: PIPES Address: 12616 E 26TH AVE Location::CSV SPOKANE VALLEY,WA 99206 Zoning: SFR Water District: Hold: ❑ Area: .00 Acres Width: 84 Depth: 137 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Building Permit Contractor: BARTON ROOFING Firm: BARTON ROOFING Address: 5423 E UNION AVE Phone: (509)535-3768 SPOKANE,WA 99212 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VB REROOF 0 $2,660.00 0 $2,660.00 Totals: 0 $2,660.00 0 $2,660.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $83.25 STATE SURCHARGE 1 SELECT $4.50 Permit Total Fees: $87.75 Operator: JAG Printed By: MT Print Date: 06/06/2005 Project Number: 05001674 Inv: 1 Application Date: 06/06/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: A Payment Summary: �s .�;., � � r �n� v ar Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $87.75 $87.75 $87.75 $0.00 $87.75 $87.75 $87.75 $0.00 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAG Printed By: MT Print Date: 06/06/2005 TO'30tid 2S6PSOS60SOS:60 SOO? tt ,WWW BUILDING PERMIT APPLICATION WORKSHEET � .�•,- City of Spokane Valley Community Development Department Building Oivision alle17 1170'E. Sprague Avenue, Suite 906 Spokane Nage WA 99206 Phone; (509) 688-0036;Fax: (609) 688-0037 E. REQUIRED SITE INPORNfA 'ION _ Street Address: ja616 tS- 26 • 0.5 - 1(.14 Assessor's Tax Parcel Number(s): 4 V7 _Z- • Legal Description: 1-1OirP. - 76711"0) PERMIT DESCRIPTION: .RQ-(.0)F Re- G9v6C a, Q . 00 -e� Building Permit 0 Change in Use El Grading ❑ Manufactured Home 01 Relocation 0 Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION1 _--,. , ❑ • Owner: Er. LAC'rY Bonner - ❑ Applicant Phone: 526.:_-"23d Fax: Phone: Faye Address: Iga�q__._.Cr_ 11'' AVC• Address: SprAiane. . City Sisto Zip Code City Slats Zip Code 0 Contractor: LArI'Dn Q00(!n j C Architect: Phone: .56 S Fax: ____ - Phone: _ Fax: • Address _7t=pl I. tit Address: 5poKane Luh q r{ -t' -• City Stets Via Cvdo City — Stats Zip Cody WA State Contractor License#: BG.f+0c*071 DD Contact; PERMIT/BUILDING INFORMATION H IGHI'TO EEAK— —.----7—htMENSIONS: r ( #OF STt}RIES: 1 ' MALN FLOOR TO SQ. FTC: 2 FLOOR SO. FTG: I NU FIN BASEMENT SO_FIG: FINISHED BAST IMMENT SQ.FTG: { GARAGE SQ.FTG'^ 1I DECK/COV. PATIO SQ. FTC: bCCUPANCY©ROUP: CONSTRUCTION TYPE: I HEAT SOURCE: *OF BEDROOMS: I TOTAL HABITABLE SPACE. I IMPERVLOUS SUR FACE AREA: COST 0P PROJEC,'r: ~— 30%SLOBS Ott FROPEFTY; SEWER OR ON-SITE SEPTIC --_----- - SYSTEM? t Method of Payment: (Faxed permit applications will only be accepted with majorbenkcatd) ❑ Cash CJ Check ❑ Mastercard ❑ VISA ❑ Other • Bankcard#: __-•-- Expires: VIN#: Authorized Signature:._ ,._.. -fig: TOTAL PA%=. i2 *.lz Td WHES:80 SOO? IT 'h eW 2S6PS2S6OS: '0N Xtid ON I d00d NO1dtiE: WO?Jd