2013, 11-18 Permit App: BLD-2013-2386 Overlay, ReroofT•
Pennitcenter [.Project ##1.U22013-2'M8b
S� 11703E Sprague Ave, Suite B-3 RECEIVED
q �' Spokane Valley, WA! 99206
iey (509)688-0036 FAX (509)688-0037NUV
permitcenterfaspokanevalley.ory 1 8 20 3
Community Development
Reroof Construction
Permit Application
SITE ADDRESS: 1 1 O 1 Ni
ASSESSORS PARCEL NO:
1
CSV PERMIT CENT
l
Commercial
I SUB # ��--1 REV. # �Ng esidential
NUMBER
PERMIR FEE:
FELTS 1Z -h
Building Owner: - _- - - ' -
Contractor:- -.
Name: KA 12-A \e -J ERRE
Name: ALP,/OE Cowsrit.ucrra4.
Address:
Address: yVy, 9 E C t e+ -'N A r/t! pa.
City: State: Zip:
City. Sp e3 1.. AA.) e- State: cd A. Zits. n3
Phone: Fax:
Phone; u !is cz qt 9 Fax '$49I. SS -0 4
G 4racor Lic No: i9 S4; Exp Date:
Contact Person . .. .
City Business Lic. No: -
Name: TArt-! js LAPP€
_ Phone: 4 4'a • S 0 9 c
Describe the scope of work in detail:
n Tear off Overlay
Cost of project: $ 2 c% (o S —
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
Ownership of r suiting development rig granted by any issued permit inure to the property owner.
Signature rig granted
Date l t t c3 (I 3
Method of Payment
❑ Cash
Bankcard #:
Authorized Signature:
0 Check
❑ Mastercard jii VISA
Expires: VIN#:
Effective October 28, 2007
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P:\Community DevelopmenABuilding DivisionVodicomm'MCF\Rcroof Building Permit App.doc