2014, 06-05 Permit App: BLD-2014-1294 Tear Off, Reroof•
Spokane
�Valleya
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter(alspokaneva Iley.orq
or
(stir san
_t ED
PERMIT NUMBER:
PERMIT FEE:
CSV PERMIT CENTER
REROOF CONSTRUCTION PERMIT AnICAT
Ell COMMERCIAL Q RESIDENT AL
SITE ADDRESS: et( 7 3 E L 4&7c [ cL--(
rfE„ j l
4
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
Clrv:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTACT NAME:
PHONE:
FAX: CELL:
CONTRACTOR NAME:
MAILING ADDRESS: WO r �[�x
CITY:
tc v47770 PC
STATE:
zip:. 93 F5-2
PHONE: «b8- %6;2-(o`{g
FAX:
CELL:
CONTRACTOR LICENSE NO.: £OffN/�� �'S EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE Sc..1QPE OF WORK IN DETAIL ANDI DIC E U E:
'7AR r / Ci/ -1 c , -- P e)< r<vc
`Jo*.7,O / jJ C'J r_.-4 r'C z erg Rocs
Iffils Tear Off El Overlay
TOTAL COST OF PROJECT: $ /t
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 of Spokane Valley 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) Plans or additional
Information may be requIr tome submitted and subsequently approved before this application can be processed.
Si nature Date: off,-pS— cocv
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc