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2013, 05-06 Permit App: BLD-2013-0804 Tear Off, ReroofSpokane jValleys 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 sookanevaIlev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: REROOF CONSTRUCTION PERMIT AEPLICATION COMMERCIAL y 0 RESIDENLI8fzCt #Calc( -13 -Pio y /,b v SITE ADDRESS: /i a LAKE f rIELCjVE© LEGAL DESCRIPTION: i ASSESSORS PARCEL NO.: BUILDING OWNER NAME: NAME: tY)S, il_ a/& 8/; ADDRESS: CITY: PHONE: 4co' 14 STATE: /did MAY 0 6 9013 CS nn — CA r t V. # XIR: FAx: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: o,A j fU fc-62_ to Ie_ 8 GI.) (2-0C.)61\461 MAILING ADDRESS: of /t57 E ./y/dU-4 J 4. A CITY: PHONE: l: L4 (6 w.ga CONTRACTOR LICENSE No.: STATE: ZIP: FAX: CELL: 'ND /1 37o- 07YC EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 7E4-, t 45V, etriaaC Tear Off E1 Overlay TOTAL COST OF PROJECT: $ 7/obfr cD DISCLAIMER The permitted vermes, 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: ia/ .0003 Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc