2014, 06-02 Permit App: BLD-2014-1252 ReroofSpokane
#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
perm itcenter(alsooka nevallev. orq
REROOF CONSTRUCTION PERMIT
r • IT CBE : I lit i
tt--
PERMIT NUMBER:
PERMIT FAUN 0 2 2014
4, �4b -2o tt tl 5 Z
CSV PERMIT CENTER
ARP'Terre NFV = 1.
❑ COMMERCIAL �RESIDENTIAL
SITE ADDRESS: k 2$UO J` E 1 bs s��
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
v.
NAME: ` w ._\ ` (•Ln `\\. •r-..
ADDRESS: \ZS Io fS\cis
CITY:
PHONE:
STATE:
FAX: CELL:
ZIP: ` `Z\L
CONTACT NAME: s3Sc
PHONE: S 2B - c }1 FAX:
CONTRACTOR NAME:
MAILING ADDRESS: T L TOK 5T;
CELL:
CITY:
PHONE: FS(,S(• X335
STATE: �4
FAX: c4' 3 - yV3S CELL:
ZIP:
CONTRACTOR LICENSE No.: Q,.,-ViQL93N r/„ EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
0 Tear Off 0— Overlay
TOTAL COST OF PROJECT: $
Y Zoo,
pISCLAIMER
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 s b andubseLyuently approved before this application can be processed.
Signature
Date: G - /-
Updated
-
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Reroof.doc