2013, 04-24 Permit App: BLD-2013-0718 ReroofSi'Mane
community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter((sookanevallev.orq
REROOF CONSTRUCTION PER
0 COMMERCIAL
SITE ADDRESS:
ASSESSORS PARCEL NO.:
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
APPLICATION
RESIDENTIAL
BUILDING OWNER NAME: 2oSC.
NAME:
LEGAL DESCRIPTION:
ADDRESS: /)0), /V, 6I_v,�
CITY: S'1)0V t(e y�
7`k-(-UiCvo l
PHONE:
STATE: tAi A
Fax:
CONTACT NAME: hekef\Y yr�,,�w-s0,.\
PHONE: (soa ) 9 aa • •-(3 0 y
CELL:
ZIP: c /a 0 Q
FAX: 9 a 4 r k((i `'f 0
CONTRACTOR NAME: 6,t(dQ, Cs►\ (c,sAtrs
• MAILING ADDRESS: J6 0 . L. •5 Ntni.k.e._ Ave—
CITY: .Se Ke Jc ( lam STATE: WA
•
PHONE: Coti� _9aa y36% FAX: (s 69
91v Y 96 cEiLL: (co 4). if3S - 3 a Ls --
CONTRACTOR LICENSE No.: Qt'CD2 cos MS EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
CELL:
3 s -3a ( S
ZIP:. C ?037
Tear Off
TOTAL COST OF PROJECT: $ _MD
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or o
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3
owner or has permission to present the property owner in this transactio-
Spokane Valley Developm
Spokane Valley permit Is
Information may be requi
Overlay
Signature
in
code. Referenced codes are available for review at thes
sru ion is to beCity of Spokaned one alley
p-rmit or approval for any violation of federal, state or local laws, codes or ordi
b , submitted and subsequently approved before this application can be processe
n a dwelling, the dwelling is/will
) The signatory Is the property
full compliance with the City of
Permit Center. 5) The City of
nances. 6) Plans or additional
d.
ea -ail -47
Date:
Updated 1-11-11
Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit 1-11-11.doc