2015, 04-28 Permit App: BLD-2015-0951 ReroofApr 2; 15 03:05p Alpine construction
Sep. 27. 2013 10:44AM
00'\.„
SWane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
per iniicepterasnokanevalRey.org
No. 5031 P. 2r
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL
SITE ADDRESS: l .. CD v
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME: t S
Aoo RESS:
RESIDENTIAL
LEGAL DESCRIPTION:
o95(j
CITU:
STATE:
PHONE:
FAX:
ZIP: 1
CELL:
ENTER
CONTACT NAME: D A i? t L? S
PMoNE:
FAX: CELL:
CONTRACTOR NAME: /-\,- L P 1 N L C v N S i 12 L T o Jv
MAILING ADDRESS: (--) 1 1 9 L CI L tN! A- r rL 6 LD R.
Crnr. S ('o
PHONE: `-t 9 ' u c) g 9
FAX:
STATE:
q (a SS<3L1
ZIP: `� 9 7 3
CELL:
CONTRACTOR LICENSE NO.: A t_ P I J C 0 8 EisktrJE IPIRES: / c)/ 31 // 3 CLTY BUSINESS UC£NSE NO.: T1 Zoo 3 371 13 v S
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1— LEA- i=
2� (L c4:
ear Off_Irt Overlay
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TOTAL COST OF PROJECT: $
DISCLAIMER
Tie permitted venires. acknowledges and agrees by their signature that: 1) it this permit is for construction or on a dwelling, tie dwelling Is/wIll
be served by potable water, 2) Ownership of this city or spokQang valley permit Inure to the property owner. 3) The signatory fs the property
owner or has permission to represent the property owner In the transaction. 4) Alt construetlon Is to be done in cull compliance with the City e
Spokane Valley Development caoe. Referenced codes are available for reliew at the City of Spokane Valley Permit Center. 5) The Oty of
Spokane Valley permitIs not a permit or approval For any vl Cion of federal. state or local taws, cartes or ordinances. 5) PIMor additional
fntarmaron nay be re utred co be submitted and subsequently pproved before this applicabort can be processed.
Signature
Updated 1-11-11
Date:
http:!/ • Arw.spokanevalley.org/filestorage/124/938/210/949/1496/2743/Rerocf.doe
Received Time Apr.28. 2015 3:12PM No. 1803
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