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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 Page 1 of 1