2014, 12-04 Permit App: BLD-2014-2903 Tear Off, ReroofSlaane
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@sooka nevallev.ora
REROOF CONSTRUCTION PERMIT
Project .
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PERMIT I'4» EFO 4 2114
PERMIT FEE:
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416
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❑ COMMERCIAL ❑ RESIDENTIAL
SITE ADDRESS: 9 7 a3
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ASSESSORS PARCEL NO.: LEGAL DER
IPTION:
BUILDING OWNER NAME: /e/%
NAME:
ADDRESS:
CITY:
ilei
PHONE: Pv8 3i? -F907 FAX:
STATE:
ZIP:
CONTACT NAME:
CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
CITY:
PHONE:
A 70
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CITY:
96/
CONTRACTOR LICENSE No.:
STATE:
S
�// J'7 / / 2 ZIP:
FAX: U' Y 7 0 L( CELL: 5 lJQ t JOS .S lG
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE TI -1/ SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off
TOTAL COST OF PROJECT: $
❑ 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 thls 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 approva for any viol. ion of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be requireed an'subsequ- approv before this application can be processed.
Signature
Date: la
Updated 1-11-11
http://www.spokanevalley.org/fi lestorage/124/938/210/948/1496/2743/Reroof.doc
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