2013, 04-24 Permit App: BLD-2013-0719 Reroof-Spokane
41".f Valley
L
Lommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter@sookaneva Ileo. orq
REROOF CONSTRUCTION PER APPLICATION
COMMERCIAL RESIDENTIAL
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: R.osC
&'C&)
NAME:
ADDRESS:
r?a( V CI Sc -
CITY: �/ c. l ( S : L A
TATE.
7Y01-8?6,0 FAX:
PHONE:
CONTACT NAME:
AvJ:-i-3
i'\
CELL:
ZIP: i id 0 6
PHONE: (soa) 9,4a • Y30t1
CONTRACTOR NAME: ( u 1(c(
MAILING ADDRESS: 0 a 4
CITY: go lick ((e.
PHONE: & 0 Cf) 9 a y3 0
FAX: q a � ‘10e(
/C�,ov d -re& � ✓
irs \c
se
STATE: LAJA
FAX: CSd9') 9.y—Vc)gf(p
CONTRACTOR LICENSE No.: 841.4c.tr. q 33 MS EXPIRES:
CELL: /3 S -3D ( S
ZIP:. —( ?037
CELL: (So 9.) tf3S - 3 a 1S
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off
TOTAL COST OF PROJECT: $ 3 47,04'5,°
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 this City of Spokane Valley permit inure t th
owner or has permission to
Spokane Valley Developm
Spokane Valley permit is
Information may be requi
present the property owner in this transaction. 4) All constp rty owner. The signatory Is theruction to
ruction is be done n)fu I compliance with therCity of
code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
rmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
submitted and subsequently approved before this application can be processed.
Signature
p
b
&t9- ZOi -671q
Date:
Updated 1-11-11
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit 1-11-11.doc
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