2015, 04-27 Permit App: BLD-2015-0934 Tear Off, ReroofSpokan` e
Valleys
Community Development Department
Permit Center
11703 East Spracjue'Avenue, Suite B-3
Spokane Valley, WA 99206 qq i
Tel: (509) 688-0036 :kbOn° It
Fax: (509) 688-0037 Iv Li
permitcenter@spokanevalley.org
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
❑® COMMERCIAL
SITE ADDRESS: 904{ S. Ca
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: t C E 1 V E 0
] RESIDENTIAL PProject #-V2---7--C)0,5---0q
BUILDING OWNER NAME: 5C0.. fm5
NAME:
APR 2 7 2015
ADDRESS:
Cm:
PHONE:
STATE:
C,Sv PERMIT CENTER
SUB #L
TIP: J=
FAX:
CELL.
CONTACT NAME: V
PHONE:
FAx:
CELL:
CONTRACTOR NAME: on• -4 -cit- A-Chr ,.t' -D,-\ ?-0-4
MAILING ADDRESS: 66o,-. S • E-vWy Q---) •
CITY: SQrbLc, 4,4_
PHONE: 6"tc-9dt-7d—fit FAX:
STATE: U,.D
%t-& - Boa 0
ZIP:. � 9o) -O C
CELL:
CONTRACTOR LICENSE No.: Ltj (tC.It-1-R.1] NC PIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
ear Off
TOTAL COST OF PROJECT: $
750
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 Spo
owner or has permission to represent
Spokane Valley Developmen
Spokane Valley permit Is
Information may be
Signa
erty owner in
ed codes
royal
any
ubsequ
ne Valley permit Inure to the property owner. 3) The signatory is the property
transaction. 4) All.construction is to be done In full compliance with the City of
available for revlew at the City of Spokane Valley Permit Center. 5) The City of
lolation of federal, state or local laws, codes or ordinances. 6) Plans or additional
tly approved before thls application can be processed.
Date:
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc
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