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2006, 07-28 Permit App: 06002922 Reroof 170'30dd bb:ST 900E 9E int r BUILDING PERMIT APPLICATION WORKSHEET rsiCI. -a'mx. ane401111City of Spokane Valley Community Development Departmen Building Divisior 44000014V 11707 E Sprague Avenue, Suite 10E 1� � 1 Spokane Valley, WA 9920E Phone: (509) 688-0036;Fax: (509) 688-0037 REQUIRED SITE INFORMATION Street Address: 1/Soo L= • 27)64 a( - 9,-,51-106 - Assessor's Tax Parcel Number(s): Legal Description: PERMIT DESCRIPTION:h- / // 30 a7 Za.., i,e7 ( e'er • ❑ Building Permit ❑ Change in Use ❑ Grading " ❑ Manufactured Home El Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION © Owner. • 7bri4- ❑ Applicant Phone: Fax: Phone: Fax • Address: jTha 6:Arv� Address: City Stale Zip Code City State Zip Code © Contractor: 1, 'r / . /______j_.1. ti,, / 0 A� ❑ Architect Phone: _, ,` __ F. -- Phone: Fax: A. . =.• : - _ ,' . i. - i./i//. _ Address: /./r P .LOA 9f 7 r State ip�,,,� ZCoda Cit/ State Zip Co #!I/r,Y%P/lide WA State Contractor License S2(a i4 - Contact ( .j1/ 9ifrs,/ZC' PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIMENSIONS: if OF STORIES: MAIN FLOOR TO SQ. FTC: 2'"FLOOR SQ. FTG: UNFINL BASEMENT SQ. FTG: f ° L c FINISHED BASEMENT SQ.FTG: GARAGE SQ_ FTC: DECKICOV_ PATIO SQ_ FTG: c `-' o > - c c N d OCCUPANCY GROUP:. :CONSTRUCTION TYPE HEAT SOURCE: u o al -o >. E 3 t V OF BEDROOMS: . TOTAL HABITABLE SPACE IMPERVIOUS SURFACE AREA: :• :° 2 OST OF PROJECT: 30%SLOPES ON PROPERTY: SEWER OR ON-SITE SEPTIC o e c (i[/ y SYSTEM? "• `' c'° Method of Payment: (Faxed permit applications will only be accepted with major bankcard) E E a•Ea8 3 ° ID Cash ❑ Check 0< en�rd ® VISA 0 Other v y v 3 c d 'Si?' VIN#: ;° bankcard__ - c A -0 - if - _. - , • u 3 Authorized Signature: Alkt '-1 . 410,4 - A �___, tr ,d d22 :E0 90 92 inr T@ 9tid £b:Sti 900E 9E TT FAX COVER SHEET MORRIS CLARK SIDING&ROOFING 2728 E_ GARLAND SPOKANE WA 99207 PHONE 509-482-2833 FAX 509-482-5-a7Q SEND TO From, comfy n SP t,itth+ C`a Le. 410pk ni s Atlenbo P4),/b/Y1 +. 44D - �G'6, kTO Fax number " ' Phone number 1M — x237 Urgent Reply ASAP ❑ Please comment I Please review ❑For youriifonnation Total pages,including cover. a afy oVP-e/uni* k-. lotit opy o-rs d:_......_...(. y rt.._ -- -Yir ._Lze_e. e _Our --_ . .c. o-dt '-.._-.....,_.__.... . _.ha vA -__._. QLL......_.........._.. 1 .d dI2 :60 90 92 tnf