2013, 07-30 Permit App: BLD-2013-1494 Tear Off, Reroofe
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Com )evtent-
Permit Center
11707E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokan evalJey.or_g
Reroof Construction
Permit Application
ADDRESS:
ASSESSORS PARCEL NO:
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PERMIT NLfMJ?ER:
PERMIT FEE: 5 12 §.7s
3
7-30
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esideutial
S1A3 E BOG AE
Building Owner:
Contractor:
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Name: Pe ealee\Al1;s c,,te ty41 r..1k QAC
Address: • e O d t
Address: 9 0 --1 I --44INIMMUq
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I City' : Cs. yam State: tAZip: \c
Phone: - Fax:
Phone: Fax: 1 . r •� .A ' t
483 -IA 60 �
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Contractor Lic No.Etzeit Exp Date: a,
Contact PersnniCity
Business Lie. No:
Name:
Q
Phone: _S / °I • L I
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describe the scope of work in det):
O
ear off
❑ Overlay
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Cost of project:/ q 50 O . 2-Lv
.b permtt�e verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This City 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 bo required to be submitted, and subsequently approved before this application can be
processed,
Ownership of resulting development rights granted by any issued permit inure to the property owner,
Signature
Method of Payment:
Li Cash
❑ Check.
Bankcard #: REDACTED --
Authorized Signature:
REVISPn R2314U5
Date
❑ Mastercard VISA
Expires: CREDACTED
"IN#: REDACTED
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to SOS DAN
G52014-030.
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