2013, 06-03 Permit App: BLD-2013-1011 Tear Off, ReroofSpokan e�
Walley•
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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Project 7!41.17_ZQl3 /Q </
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(Staff Use Only)
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PERMIT NUMBER:
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;PERMITfFE E:
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL RESIDENTIAL
SITE ADDRESS: 13204 E DESMET SPOKANE VALLEY WA
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
Ciry: SPOKANE
STATE: WA
zIP:99202_
PHONE: 838-8633 FAX: 747-8990
CELL:
CONTACT NAME: SPOKANE ROOFING COMPANY
PHONE: 838-8633
FAX: 747-8990 CELL:
CONTRACTOR NAME: SPOKANE ROOFING COMPANY
MAILING ADDRESS: 130 E SPRAGUE AVE
CITY: SPOKANE
STATE: WA ZIP: 99202
PHONE: 838-8633 FAX: 747-8990
CELL:
CONTRACTOR LICENSE No.: SPOKARC96OPA EXPIRES: CITY BUSINESS LICENSE NO.: L0443938
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
TEAR OFF AND RE ROOF
TEAR OFF AND RE ROOF
ID Tear Off
TOTAL COST OF PROJECT: $"679970
er/ / D
0 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 rmit is of a per It approval for any violation of federal, state or bol laws, codes or ordinances. 6) Plans or additional
information m y be qu red t• b- ub ted and syCsequently approved before this application on be processed
Signature
ll Date:1j,- ,/3
Method of payment: 0 Cash Check 0 Visa
Bankcard #: EXP:
0 Mastercard
VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
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10.28.07.doc