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2014, 12-03 Permit App: BLD-2014-2888 Tear Off, ReroofCommunity Development Department Permit Center 11703 East Sprague Avenue, Suite 8-3 Spokane Valley, WA 99206 Tel: (509) -688-003-6 0- 5 VO Fax: (509) 688-0037 permitcenterspokanevalley.org (Staff Use Only) PERMIT NUMBER: PERMIT FEE: REROOF CONSTRUCTION PERMIT TION 0 COMMERCIAL SITE ADDRESS: ASSESSORS PARCEL NO.: 0 RESIDENftAJeet LEGAL DESCRIPTION: BUILDING OWNER NAME: -dui RECEIVED )Lt„ u 3 2014 NAME: ADDRESS: C : /‘; ,z/f- ,73 SUB PHONE: 50 FAX: CONTACT NAME: STATE: 6 CSV PE "Li CELL: / PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: PHONE: CONTRACTOR LICENSE No.: STAT FAX: CELL: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK,7DETAIL AND INDIC&TE USE: ,,T4 --, /Z/ / ' LI Tear Off TOTAL COST OF PROJECT: $ 111 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 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 reqt.jirefito be sub ' ed and subsequ tly approved before this application can be processed. 2 Signature Date: Updated 1-11-11 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Reroof.doc Page 1 of 1