2015, 04-03 Permit App: BLD-2015-0733 Reroofr 03 15.10:30a Alpine Construction
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community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
509 448-5504 p.1
No. 5031 V. 2
(Staff Use Only)
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Fax: (509) 688-0037
tanrvallflv.OHt PERMIT
FEE: I DI R -S
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CONSTRUCTION PERMIT APPLICATION
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l COMMERCIAL
SITE ADDRESS:
SIDENTIAL
[ 1 19 til I-1 A R-.tn c n) 4
ASSESSORS PARCEL NO.:5n2)Fc3.0IO5LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: BOO S C 14 E R
ADDRESS? S iAn. _t r
CITY: STATE:I ZIP:
PHONE: FAX: c"t•:
CONTACT NANE! D A fL t tJ S 12_A P Pe
PHONE: FAX: �:
1
CONTRACTOR NAME: L P' r -J E Co- S T P -'J C_ T 1 o 1
A
NAILING ADDRESS: Cl CI 19 C CT Let -4 tV A-. 4-6 PA
own S P m kC A r' E STATE: A ZIP: 1=19 2-Z 3
PHONE: gCla.aeQ9 we q a• ssCD.I rp.-
CONTRACTOR LIONNSE NO.: A LP I N C-44- O B SN.rvexntaES: / 073///3 ctnY BUSInIEB5
t1fsN5e NO.: r/ 2.<.) e 3 311 1
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
041.1 of E!`
M Tear Offer
TOTAL COST OF PROJECT: S 3 Oci
ertay
DISCLAIMPR
ma permitted vermes. acknowledges and agrees by their signature than 1) a pHs permit is for comae
be served try potable water, 2) Ownership of this city of Spokane Volley permit Inure m the property
owner or has permission to represent the property owner In this transaction. 4) All construction H to be
Spokane Valley Development code. Referenced codes are available for review at the Qty of Spo
Spokane Valley is not a perms or approval for any violalion of federal, state or local laws, cod
hquire to be submitted and steno end,/ approved before this apptic: mr can be
fntormanon rnav bei
Signature c- . + D
or on a dWtinnp, me arvelang Is/Wit
ere 3) The signatory fa the property
done in full compliance with the Ory or
Valley Permit Center. 5) The City of
or ordoninces. 6) Plant or additional
te: `�/3 !/ S
-Pro
ect #AL.,b—.001-033�
RECEIVED gp
APR 0 3 2015
updated 1 -ti -1.1.
hUp://www.spokanevalley.org/RlestorageJs 24/93gp1o/948/i
ved Time Apr. 3. 2015 10:36AM No. 1672
496/2743/Reraof.doa
SUB
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