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-
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ASSESSORS PARCEL NO.: LEGAL
ASSESSORS
ESCRIPTION:
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BUILDING OWNER NAME:�l6,40-70 („/
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SEP 2 4 2013 /—
NAME:
ADDRESS:
CSV PFR(t%IIT r PKITED
CITY:
STATE:
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CONTACT NAME:
PHONE:
FAX:
CELL:
CONTRACTOR NAME: /207
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MAILING ADDRESS: 1 !a7 e�.�GNN }-J
CITY:
PHONE: 4'? -3 5" 52,
STATE: VA
FAX: 5/66 - J J7
ZIp: 99;67
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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