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2013, 09-24 Permit App: BLD-2013-1927 ReroofSpokane #Valley$ Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-eeae— 720 -529'0 Fax: (509) 688-0037 permitcenterrtsookanevallev. orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: REROOF CONSTRUCTION PERMIT APPLICATION COMMERCIAL ESIDENFIAL SITE ADDRESS: 7/0 —Y IL "3 U ci.&.li D, Ojcct IP -24)13160C- .V `� ASSESSORS PARCEL NO.: LEGAL ASSESSORS ESCRIPTION: „ ;J BUILDING OWNER NAME:�l6,40-70 („/ rel ELrE VE V SEP 2 4 2013 /— NAME: ADDRESS: CSV PFR(t%IIT r PKITED CITY: STATE: C I HD u FZTp J i • CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: /207 (( /C1C 1.1 rip r T4 r> J MAILING ADDRESS: 1 !a7 e�.�GNN }-J CITY: PHONE: 4'? -3 5" 52, STATE: VA FAX: 5/66 - J J7 ZIp: 99;67 7 CELL: 2a6 ' 3ai1 CONTRACTOR LICENSE No.: /y gt / I\Ct 57 I h EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: El Tear Off TOTAL COST OF PROJECT: $ 5700 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 thls 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 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 �jC Date: y/73 Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc