2014, 10-10 Permit App: BLD-2014-2489 Reroofancf
Spokane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcen tere sooka n eva I ley. o rq
roject (Staff Use Only)
PERMIT �/
PERMIT F : - /t
v e
REROOF CONSTRUCTION P -RMIT APPL C
tit*ENTER
COMMERCIAL
REV.
SITE ADDRESS: ) 1
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
i'. 1 , d
CITY
_,A. v, goo J STATE: PIP
d -
PHONE:
9& -moo c9.c
ZIP:
CELL:
CONTACT NAME:
PHONE:
CONTRACTOR NAME:
FAX:
0
AR ♦
CELL:
CITY:
,PriMirfarikt4
MAILING ADDRESS'
4
ATE:
r
ZIP:
PHONE: FAX: 971 g
CONTRACTOR LICENSE NO.: VP/LB
IMP
i
CELL:
t3y_BUSINESS LENE NO.:
DESCRIBEBET SC P OF WOAr E
AIL AND INDI pTE USE:
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Sear Off
TOTAL COST OF PROJECT: $
Overlay
.
DIMER
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 to the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner in this transaction. 4) All construction Is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center, 5) The Clty of
Spokane Valley permit Is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may b7- equlred to be sumimed and subsequently approved fore this application can be processed.
Signature
L
Date: /(.)
Updated 1-11-11
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