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2014, 06-04 Permit App: BLD-2014-1287 Reroof
Permit Center . CaTV© 11703 E Sprague Ave, Suite B-3 p n Spokane Valley, WA 99206 � e _ (509)66&0036 FAX: (509)658-0037 www.spokanevailev.org Community Development Reproof Construction Permit Application. } � `� val.ac- 9j ci �- l • SITE ADDRESS: }� '�. f `. i i Y ''' " �� C, j� Dict Project_ -c;-‘ 20/`1-1 (-- RECEIVE D. --RECEIVED CSV PERMIT CENTER SUB # REV. = ormercial Residential ASSESSORS PARCEL NO: .Building Owner_ All li . Name: S I _ . ' ' L A.2 - 11104M11 Address- `_ • C -t2 --- City: State: Zip: Phone: Fax: . Contact Person - Name: i h Lu ec Phone: Des cr e the scope of work in det il: 1�C`-1 ccs Q -P -t 42, + J Contractor. Name: Address: City: Morris Clark Siding & Roofing 2728 E. Garland Spokane. WA 99207 482-2833 State: Zip: Phone:/�ia j � Fax: � S� 7Q Contractor Lic No: Exp Date: City Business Lic. No: Ai Tear off ❑ Overlay c:r rn_Q Lc, JM i v\s1'1- e (D Cost of project: $s c Dc2 The permitee 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 far any violation of federal, state or local Jaws, codes or ordinances. 6) Plans or additional information may be 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 ow Signature Method of Payment: Cash D Check Bankcard #: REDACTED _ _ Authorized Signature: REVISED 8123rZDD5 Date 0 Mastercard ....••� / Expires: R5DACTED VIN#: Copy 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 GS2014-030.