2013, 11-18 Permit App BLD-2013-2381-Cancely cra -rem /1 c e0d4/ ea'/l
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SilokSne
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@ spokanevallev.orq
rt•vt)- o`D I T ` az C5 l
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL 14 RESIDENTIAL'
SITE ADDRESS: `Og I e rOot.U,I,004
ASSESSORS PARCEL NO.: LEGAL ESCRIPTION:
RECEIVED
BUILDING OWNER NAME:
NOV 1 8 2013
NAME: Kd/.'tY1 'VrvlIV(6 ,f
ADDRESS: 1 D I I j ' SyOA WAY
CITY: l-z;,,e/v4k.i ll , Vousej
PHONE:
FAX:
STATE:
WI-
CSV PERMIT CENTER
SUB#{ ( 1 REV #
CELL:
ZIP:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: A -1(gyp n
MAILING ADDRESS:
CITY:
PHONE:
b61o s . Mark
�a.ne AAA,/
Oa- lat O3
CONTRACTOR LICENSE No.:
STATE: VV A ZIP:
FAX: CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
171 Tear Off
TOTAL COST OF PROJECT: $
❑ Overlay
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 processed.
Signature Date:
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/ 124/938/210/948/1496/Reroof_Permit_1-11-11.doc
ECK
SITE ADDRESS: WIj�,
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME:
ADDRESS:
CI V:
PHONE:
CONTACT NAME:
PHONE:
CONTRACTOR NAME:
MAILING ADDRESS: '
PHONE: Ol — - / 4 v
CONTRACTOR LICENSE No.: NPRvt 4
1■/05/2032 03:19
Comunity Development Department
Pe t Center
11703 East Sprague Avenue, Suite B-3
Spokr; ne Valley, WA 99206
Tel! (509) 688-0036
Fax; 1509) 688-0037
permitcenter0spokanevalley.orq,
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCT ON PERMIT APPLICATION
N 1 CONSTRUCTION ADDITION/REMODEL ACCESSORY BUILDING
r3 OTHER
Y
LEGAL DESCRIPTION:
STATE: WA -
Fox:
FAX:
Ate S
ZIP:
CELL:
CELL:
STATE: ZIP:
FAX: CELL: /' p-
EXPIRES: CITY BUSINESS LICENSE NO.: l®C. -S i )4'2.
IN DETAIL AND INDICATE USE & PROPOSED USE:
DESCRIBE THE SCOPE OF WORK
****YO
UST COMPLETE T
FOLLOWING****
ICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor
SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT:
Deck/Covered
FT:
Patio SQ
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Constructia
n Type:
Heat Source:
S
Sewer or Septic:
TOTAL COST OF PROJECT: $
pISCLAIMER
The permitted verifies, acknowledges and agrees b
be served by potable water. 2) Ownership of this
owner or has permission to represent the property
Spokane Valley Development code. Referenced <
Spokane Valley permit is not a permit or approval
Information may be required to be submitted and s
their signature that: 1) if this permit Is for construction or on a dwelling, the dwelling is/will
ity of Spokane Valley permit inure to the property owner. 3) The signatory is the property
wner in this transaction. 4) All construction is to be done In full compliance with the City of
ides are available for review at the City of Spokane Valley Permit Center. 5) The City of
for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
�bseduently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc