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2015, 05-04 Permit App: BLD-2015-1006 Reroof
f :;•°' Community Development Department g� Permit Center (Staff Use Only) ScITY ofpol�fOlane I 11703 East Sprague Avenue, Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: ValleyTel: (509) 688-0036 '� Fax: (509) 688-0037 PERMIT FEE: permitcenter©sookanevallev.orq REROOF CONSTRUCTION PERMIT APPLICATION I1 COMMERCIAL RESIDENTIAL IProject #�' (5- /( ) 4SITE ADDRESS: oZ ID3 S Ce -prC.�- 1 ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: 1" B Y�. _r�Al./P'_n BUILDING OWNER NAME: I _ \ '`'`'' U 9 [Ula NAME: �,Qn.V1 �oYsber0 ADDRESS: ,-\03 S C.Prvtuv- c.1,- I CQ A/ Fi,-- CENTER S U B # n.-.__, CITY: ,, ,20)(_,-,. i- e_ \t G 1 `e V, STATE: IP; gni.e-73---1—.1 PHONE: <(7q - eQ t .. a ckl FAX: CELL: .-- CONTACT NAME: J e_e‘6 9 PHONE: f tir'1 - bet t - 8I 1.tet FAX: CELL: CONTRACTOR NAME: h; v1 0 iZon—1 vtl . . MAILING ADDRESS: • p• 0 • • SDX 1 0z . CITY: V.crctdc.42 STATE: UJ IN , .ZIP:. 0" 01 D 3 -7 PHONE: :5'D . eLYR - b C9 8 3 FAX: CELL: CONTRACTOR LICENSE NO.: 0:20.7 ; 60t-- 611/M3-EXPIRES: CITY BUSINESS LICENSE NO.: . DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: _2n- b v c lU eu) rpo \viS4-ei (1 [►_ Tear Off E J Overlay TOTAL COST OF PROJECT: $ '- q 00 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. • Signature _j,p-,.-ei_e_ irN,ro j''Z._-*\ Date: ,5 ) 4 1 15 • Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc