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2011, 09-22 Permit App: 11003000 Tear Off, ReroofC Y OF'ane - •-. . Community Development Department Permit Center 11703 East Sprague Avenue, Suite 8-3 Spokane Valley, WA 99206 Tei: (509) 688-0036 Fax: (509) 688-0037 permitcenter©spokanevallev.orq (Staff Use Only?) PERMIT NUMBER: /1 - 3ooO PERMIT FEE: / 3 '—)Cy REROOF CONSTRUCTION PERMIT APPLICATION 0 COMMERCIAL 12 ' RESIDENTIAL gSIiTEfADDRESS:Ii 3'10.3 %f , Eck er TT2✓. ASSESSORS PARCEL NO.: `/ o 3.3120 LEGAL DESCRIPTION: BUILDINGkOW NERRvNAME:;; NAME: .lB/% M/' ADDRESS:J03 N cm: S/e2/27, /G/ /Y/o/OF PHONE: /Coy 9 22__ Zi / FAX: CONTACT NAME://7 STATE: itofW CELL: ZIP: 9,2 /7 /roo PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: bESCRIB- IESCOPE OF WORK IN DETAIL AND INDICATE USE: 74o .7 AC(.9 r24)Coo/c /O s o Sive'j� Tear Off ® Overlay �i 803 1 4TLOWAL'fCOSTIOFlipROJECTgq$ 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. Ognatuce f—c pate: 2z o// Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/fllestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc