2014, 08-11 Permit App: BLD-2014-1908 Tear Off, Reroof00,\Eft,
Spokane
jValley°
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@spoka neva Iley.orci
PERMITNUMBER:NLr
PERMIMBIE:
CSV PERMIT CENTER
REROOF CONSTRUCTION PERM 'Up .
Et COMMERCIAL!
RESIDENTIAL
SITE ADDRESS: 2 7(5 5 0I tNicot. r
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY:
PHONE:
c9 '-' r
STATE: t/e). - ZIP:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME: C(v_,L (.�,Q.cGQ- -- ✓� �v?�z(�j��s.
MAILING ADDRESS:
CITY:
PHONE:
7 Q1.2 71-C'cl
CONTRACTOR LICENSE No.:
STATE:
FAX: �� E"--- 8 i --O CELL:
EXPIRES: CITY BUSINESS LICENSE NO.:
ZIP:. .37)-42-6
DESCRIBE'' THE SCOPE WORK I DETAIL AND NDICATE USE:
(-r
5jr<ar Off
TOTAL COST OF PROJECT: $
40,c o
C 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 Developme •.e. -eferenc re a :liable for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit of a per .•' or -: •row -1 any vi. ation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may b- -quire. . •- su. i j�./.�ubsequentapproved before this application can be processed.
Signa
Date:
Updated 1-11-11 Page 1 of 1
http://www.spoka nevaliey.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc