2014, 01-03 Permit App: BLD-2014-0007 Reroofpokane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 68,9-9G36-- 7.q0 -5E0
Fax: (509) 688-0037
permitcenter@sooka n eve liev.oro
(Staff Use Only)
PERMIT NUMBER: DLO —IQ
PERMIT FEE: s
-ooO7
REROOF CONSTRUCTION PERMIT APPLICATION
El COMMERCIAL
SITE ADDRESS:
rj RESIDENTIAL
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
.J g <6, ALAI. -
45 .8c)(2, 4o 47
/4A)
9,2--J7-
CONTACT NAME: —17, kjj
PHONE: EC,5 172t) 63s0
CONTRACTOR NAME:
FAx
CELL:
• MAILING ADDRESS: Se L
CITY:
STATE: ZIP:
PHONE;
FAX CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DE CRIBE THSCOPE OF WORK IN DETAIL AND INDICATE USE;
• KooF 00c72/.. /I) ci) :37341-15 ik+/-7 C
El Tear Off
TOTAL COST OF PROJECT: $
(;2c)(15 er)
Overlay
DISCLAIM ER
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 represen he property owner in this transaction. 4) Allsconstruction is to be done In full compliance with the City of
Spokane Valley Develop t code.f ferenced codes are available for review at the City of Spokane Valley Permit Center. 5). The City of
Spokane Valley permit is oa er r approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be -uf -d t. e wjbrjitted and subsequ tly approved before this application can be processed.
Signature
4
Date: /
Project —0 co 7
RECEIVED
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/9
JAN U 3
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