2014, 10-09 Permit App: BLD-2014-2451 Tear Off, ReroofSpokane
40#Valley.
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) -688 0036 "7-20- 52 VO
Fax: (509) 688-0037
permitcenterPsooka nevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
0 COMMERCIAL RESIDENTIA
SITE ADDRESS: 0 1_ L . 6
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
Sect r 5
NAME:
ADDRESS:
j
�
OCT 09 2014
fst/ PERMIT CENTtH
I sus
CITY:
PHONE: FAX:
cA) 1 /t)- 60-cA) 1,1^
t 0 f! 4-( lbw '7
STATE:
CONTACT NAME: ( `I�,V•_ L— l rst A
PHONE:
FAX:
�g
REV. Y,
CONTRACTOR NAME: GVw- -LL cz,o-o
CELL:
MAILING ADDRESS: 620 / / ?, 1^•<-
CITY:
PHONE:
STATE:
FAX: CELL:
ZIP:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE T_SCOPE OF wigyeK IN DETAIL AND INDICATE USE:
2 Tear Off
TOTAL COST OF PROJECT: $
elj7J�Ci
El 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 Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permlt Is not a permit or approval for any violet n of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to be submitted'aid s se ently proved before this application can be processed.
24"--;2
Signature _._...Date:V
.__ --
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Reroof.doc
Page 1 of 1
�II