2013, 05-30 Permit App: BLD-2013-0992 Tear Off, Reroof To:6880037 P.1/1
iM_AY-30-2013 12:45 From:PERRENOUD ROOFING 4837106
• RR a � �� rctmn l..ellter
Is S e 11707 a Sprague Ave, uite 106 t 8( f3-?2 PE*NUMBER:
lisiSpokane Valley,WAnG1
,0/00 alley (509)688-0036 FAX: '509)688-003 P m FEE:
I.
Commsnity Development www a Fokanev�allev.org.o
(7 (`O PY MAY 3 0 2013
Residential Constructic o New Construction Accessory Bldg
CSV PFEP.NoiT C'FNTER
Permit Application a Addition/Re odel • I Deck
SUB #o �1 ther: R E'<, r 1
SITE ADDRESS l`l a:1 � �S1.1.16.____________,..
_ �.�..a�.v.do.�. ..
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
.
Building owner .. • , .Contractor. . - .
Name: R‘ S ce(1..Cer Name:erre n rx,i6. �r o nis.. -Ca c
Address: /I"2_ Address:.?. , 20 74
City: Zip: CitT5pQ(kAir 144 Zip: 9q9,o 7
Phone: Fax: Phone: n-WOO Fax: (113 7/(
-: —
Lie NotA rQr;qty RA Exp.Date:
-Coirthct Person• . • , ' . . .. .
. .. l'...',:.!'. '.:;
City Business Lic No:
Name: Ifl.)GCRICA A al chat, _. -
Phone: C11��.(-07Qs'
Desc rt.- - G : of work in detail: - ost of Project L$ s 71 S.'16
**************The following MUST be complete: (write N/A if not applicable***********'***********
HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ. 2MJ FLOOR SQ_FTG: UNFIN BASEMENT SQ. FTG: . IMPERVIOUS SURFACE
FTC: AREA.
FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV.PATIO SQ. FTG: 30%SLOPES ON
SQ. FTC: PROPERTY:
#OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC?
DISCIAIMEa
The permttea 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 fur 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 ---•"(""I '''--
Date S- JO .-a -
Method of Payment: (Faxed permit applications will only be accepted with majorbankcard)
0Cash
ca d 0 Mastercard REDAIaDr
it: REDA Expire: REDA 1vlw
Authorized Signature: ..-.1"...7.- '....-...01.00".---- . • -
RE�ASEb sr2s000s �"
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 GS2014-030.