2011, 08-16 Permit App: 11002488 Tear Off, Reroof*Wane
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Community Development DepaLUL°N Wdbl l _L1OZ_'91 'z ny�awll panialzd
Permit Center (Staff USe Only)
.1703 East Sp!ague Avenue, Suite 6-3 p
Spokane Valley, WA 002/6 PERMIT NUMBER: I - Zyg
Tel: (509) 668-0036
Fax: (509) 688-0037 PERMIT FEE: 1 7 5
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REROOF CONSTRUCTION P
MIT APPLICATION
0 COMMERCIAL SiITE ADDRESS: ✓ I S HtRI3L
RESIDENTIAL
ASSESSORS PARCEL NO.: 3523), it I Z LEGAL bESCRIPTION:
BUILDING OWNER NAME:
NAM!:
ADDRESS:
CITY: /� 2.04:9 �Ir/
PHONE: 23a — 1
r
6
CONTACT NAME:
STATE:
FAX:
ZIP:
CELL: •
Jae 979- R/93
PHONE: PERRENOUD ROOFORy
ro 60X 7174
CONTRACTOR NAME: SPOKANE WA90207
CELL:
MAILING ADDRESS:
CITY:
PHONE:
PO BOX 7174
STATE:
ZIP:
SPOKAN
FAX:
CELL:
CONTRACTOR LICENSE NO.: Pr Y I Le EXPIRES:
CITY BUSINESS LICENSE No.: (06 2 Vat 7,15
DESCRIBE THE SCOPE OF WORK IN DETAIL AND I DICATE USE:
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Tear Off
TOT • L COST OF PROJECT: $
pISCLAIMEI;
'Ihe perIaiticd verifies, acknowledges and agrees by Uicir signature that: 1) It this permit is for construction of on a dwelling, the dwelling iv/will
De served by potable water. 2) Ownerslup of this City or Spokane Valley permit Inure re the property owner. 3) The signatory Is the property
owner nr has permission to represent the property owner In this transaction. 4) All construction Is to be done in full compliance with the City or
Spokane Valley Development code. Referenced nodes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit Is not a permit nr approval for any violation of federal, state nr Intal laws, Codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
(Sqq.ci
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Date:
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-1t-11.doc
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