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2015, 05-21 Permit App: BLD-2015-1167 Reroof
Spokane jValley; 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©spokanevalley.orq b1/ REROOF CONSTRUCTION PERMIT. COMMERCIAL I E RESIDE SITE ADDRESS: 17 / � A. r�n4e / Pttun PERMIT NUMBER: PERMIT FE'EAY 21 20 CSV PERMIT CENTER PPL,IEA ONIEV. # TI'At ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: gnru ADDRESS: 11-( I Ai t „evt { CITY: eo Ko Le - PHONE: STATE: /�� ZIP: FAX: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: 71/ pA--,- ,p x-- Gc)1 s-l-rur 4-107c MAILING ADDRESS: CITY: PHONE: Cd—IOL1J U6ri \fe,r. bc STATE: RJ4 FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: RESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Ke ( Ie -- •9X S -F orn,,, El Tear Off � TOTAL COST OF PROJECT: $ Lienn° 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 required to be submitted and subsequently approved before this application can be processed. revv1 /yUZM0 Date: 5-,c1-15 Updated 1-11-11 1 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc