2011, 10-21 Permit App: 11003467 ReroofCommunity Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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REROOF CONSTRUCTION PERMIT APPLICATION
11 COMMERCIAL
SITE ADDRESS: \ zls S 14OQ
RESIDENTIAL
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: Sh1 ) Z,}y12'13
ADDRESS: \12-19 S VOK
Cmc 3OKP.IG
PHONE: 503i `"1C1' Ilf
CONTACT NAME:
STATE: IA)A
ZxP:
FAX:
CELL:
PHONE:
FAX: CELL:
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS:11420 E. MONTGOMERY
CITY:SPOKANE
STATE:WA ZIP:99206
PHONE:(509) 928-4686 FAX:(509) 252-2996 CELL:NIA
CONTRACTOR LICENSE No.:MCVAYBC346ME EXPIRES:N/A CITY BUSINESS LICENSE
NO.:N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
RnT IO CO/C--e_
II Tear Off 11 Overlay
TOTAL COST OF PROSECT: $
DISCLAIMER
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 ofISpokane Wiley Permit Center. 5) The City of
Spokane Valley permit Is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Pians or additional
Information may be required to be submitted and subsequently approved before this application; can be processed.
Signature `Zhi i91 afL Date: 10I7-1 I I
Inflator! 1 1 -11 Page 1 of 1
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