2013, 12-05 Permit App: BLD-2013-2482 Tear Off, ReroofSiMkane
4,000Vaiiey.
Community Development Department
Permit Center (Staff Use Only)
11703 East Sprague Avenue, Suite I:3.1
Spokane Vulley, WA 99206 PERMIT NUMBER:_
T. (509) 688..0036
Fax: (509) (3138-01.)7 PERMIT FEE:
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REROOF CONSTRUCTION PERMIT APPLICATION
0 COMMERCIAL RESIDENTIAL
SITE ADDRESS: 21 I -B6133D1514
ASSESSORS PARCEL NO.: LEGAL DESCRIPTIOW:fr
roject
RECEIVED
BUILDING OWNER NAME:
NAME:
ADDREss:
CITY:
PHONE:
CONTACT NAME:
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cAaa•
PHONE;
511°A —SIG13
STATE: wp
SUB
_CELL:
FAX:
1:: 0 5L 2013
CSV PE
TER
FAX: CE1
CONTRACTOR NAME: br-Kb0F. 1).1 b
MAILING ADDREss: 9. 0 . 0>e- 1
CITY: a90\4,1_,Ae
PHONE: JOCA 5.5 3 • 7 1 OD
FAX
STATEZIP: CI I
: Wizb.
CONTRACTOR LICENSE No.? C- kes,61.11(„4.1M ExpiREs:
60
CELL:
IT Y BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF VORK IN DETAIL AND INDICATE USE
OF PROJECT:
DISCLAIMER
The per initted verititrA, arknowle.dgea m
hc ,urvO(: by potable water. 2) Owner")
owner nr haS permlFa7ion IT) repreF.elit. the r)
5pOkaive Valley Dovalopment code. Refer,
Npr.loirie Valley permit Is nor i permit or ei
information alloy be required Lo be'iubmILle
Overlay
glees by I hr..ir signature Owl-. 1) If this per mit 1:, for centrucliurt nr on a dwellii ij I rIvr7•Illnei.v
a this City of Spoke; le volley permit illure to the properly owner. 3)
operLy owner in th13 nansacrion 4) All contrilaiOrl IS CO Dm done ill Full C05111'lprl'i.fl•r-l..71"'/F.
nLId cr),Ict, nkt for review I ihe_ City of :5pokAce- Valley Perron. 5) p,c
pruval for any violation oF federal, FTate_ or local lawa, eudesnr ordinRni 1,, 6) Plam or Arld.tio,,al
Jand 2illbSE:LIUCItly approved bEfore LhiS applicatInti c[in be prooaLmrd
_
Upriatd 1 11-11
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ey.nrgAlestorage/124/938/210/948/1496/Reroof_Permit J. 1 1-11.doc
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