2014, 07-08 Permit App: BLD-2014-1590 Tear Off, Reroof*Wane
ValleyM
Community Develorrnent Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509)688-0036 740- 5.2 VO
Fax: (509) 688-0037
permitcenterCalsooka nevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APIRLI.CAT_ION
❑� COMMERCIAL [ RESIDENTIAL Ojeot #a)
RECEIVED
JUL 0 8 2014
SITE ADDRESS:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME: C two,
ADDRESS: 2-0 22, 3
CITU:
PHONE:
LEGAL DESCRIPTION:
Chnw IBS fit) ar.rt
STATE:
CSV P R AIT r•
1 SLUR*
ENIF tit`.
FAX: CELL:
CONTACT NAME: CLna 14S
PHONE:
FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
12,h'.no Roo )iq
P. n, atot t%11I
CITY: \I-, ra c%ct t
PHONE: So CI Pi L14 66 8.3
STATE:
v.) q
ZIP: '(9031
FAX: CELL:
CONTRACTOR LICENSE NO.: 12,11; yip r
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
E Tear Off Overlay
TOTAL COST OF PROJECT: $ Sq OO
DISCLAIMER
The permitted verlfles, acknowledges and agrees by their signature that: 1) If thls permit Is for construction or on a dwelling, the dwelling Is/will
be served by potable water. 2) Ownershlp of thls City of Spokane Valley permit Inure to the property owner. 3) The slgnatory 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 approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature S Ort) o,
Date: —7 y g / I e+
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Reroof.doc
4
41 .