2015, 02-25 Permit App: BLD-2015-0332 Tear Off, Reroof'lb 2515 05:25p Alpine Construction
Sep. 27. 2013 10:44AM
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 6-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterdasookanevaIev-orq
509-448-5504 p.1
No.5031 P. 2
(Staff Use Only)
PERMIT NUMBER: — -
PERMIT FEE- di
•
..�.:...: .0•41,11 _ 1 PERMIT APPLICATION
I'
COMM tett.aAl.
SITE ADDRESS: I ck F' S
*l Rtstvtna r iat_
BUILDING OWNER NAME:
NAME: R 2a rut eft
ADDRESS: 1.J "--11.C. /-i O W ,v
Ctrr:
Stare:
Zip;
PHONE:
FAX!
CELL:
CONTACT NAME! D A r2...1 J S
PHONE: FAX: CELL:
CONTRACTOR NAME: 4 (... P 1 P..11:77 CCN ST. 2. L1 C -)-I o h:
HAILING ADDRESS: L) LI 1 9 G C� L E fJ !V A- 4 r2 E D R.
CITY: SCD 0 Y A r- E STATE:
ZIP: at 'L Z3
7tione: Ll I a• a o CI CI
FAX: ,m q <a' S S q CELL:
__..... c Li tIerNo.:Ai-PIN C*0SSAA mines. /o/,, / g
Clrr BUSINESS LICENSE No.: 7-, Z. cr o 3 211 13 v S
WRK IN DETAIL AND INDICATE USE:
7 R G-fL-o 0 f=
Tear Off-
- TOTAL COST OF PROTECT: $
ei Overlay
PHELL&TMES
The permitted verifies, ackaowleages and serer= by their signature that: 1) If tins permit is for construction or an a dwelling, the dwelling 1sfwli{
be served by potable water. 2) Ownership of this Cay of Spokane Valley pemilt 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 consuucUon Is to be done in run compliance with the City or
Suotene Valley Mro
Oev Ment rode. Referenced codes are available for review at the Cty of Spokane Valley Permit Center. 5) The City of
Spokane Wiley per r it Is not a patina or approval for violation of federal, state at local laws, codes m ardmances. 6) Pians or additional
information may
/b be qulred to be submitted and sub Uy approved before this application can be processed.
Signatilre Date; 2-f10
Project # ALD —QO1S-3339-
RECEIVED
FEB 2 5 2015
Updated 1-11-11
http://www-spakaneValley.org/filestorage/124/938/ZIo%94ti/ 14�u/ci4 RTerdc t`t Page 1 of 1
SUB # REV.
Received Time Feb. 25. 2015 4:30PM No. 1522