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2015, 03-24 Permit App: BLD-2015-0619 Reroofif *lane Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite 8-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 perm itcenter@spoka neva) lev.ora Project #21-42—D-0/5 —0E,r7 t -ff-U e10 I PERMIT NUMBERU) f (11 PERMIT FEE: REROOF CONSTRUCTION PERMIT ❑ COMMERCIAL SITE ADDRESS: I 13 ASSESSORS PARCEL NO.: EI RESIDENTIAL 5 4 Art -1 OAvrf LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: ADDRESS: L 1 0 S o�-H CITY: PHONE: S poKA Nag UAt 1 C/sf 1 )AwAj STATE: FAX: CELL: ZIP: 9go.? 7 CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: tJj (gyp -1-H eJ 3 -it; r d MAILING ADDRESS: rf 7rS LLL i8c E. Se) -1-1 CITY: PHONE: P51 FiAitS cct ?“..g `l3S1 STATE: .f jo ZIp: E Sq FAX: CELL: CONTRACTOR LICENSE No.: t.J2.A-F14CLC8 SL E7tPIRES: ,).01 CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Qe — 2 oo: Ire-fou-cf ❑ Tear Off Overlay TOTAL COST OF PROJECT: $ 3y 9 q . 5 7 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 Date: �. o2USo2U- I S Updated 1-11-11 Page 1 of 1 http://www. spokaneva I ley.org/fi lestorage/ 124/938/210/948/ 1496/2743/Reroof. doc