2014, 1029 Permit App: BLD-2014-2645 Tear Off, ReroofIJc��1116AIlY�
Valley'
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036 '7d0- 52 VO
Fax: (509) 688-0037
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(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
El COMMERCIAL
SITE ADDRESS:
2 1 Le c&..a .
ASSESSORS PARCEL NO.:
jI1RESIDENTIAL
LEGAL DESCRIPTION:
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BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY:
PHONE:
STATE:
RECEI
OCT 2 9 20VE►14
CSv i PRMIT CENTER
REV
CONTACT NAME:
PHONE:
FAX:
FAX:
•
- 6ELL.
CELL:
CONTRACTOR NAME: 31\N -6L 9,4
Gia 3 5 - R.`rt-`5
MAILING ADDRESS:
CITY:
(� STATE: tar
ZIP:
PHONE:
-99 9 -9-do - fl7 'C
FAX: CELL:
CONTRACTOR LICENSE No.: £5--- ' kr T31 (3"-- EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
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TOTAL COST OF PROJECT: $
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1)
be served by potable water. 2) Ownership of this City of Spokane Valle
owner or has permission to represent the property owner In this tra
Spokane Valley Development code. rented codes ac- labie
Spokane Valley permit is nen permit or ap oval fon y v . atlop-d
Information may t —retTuired to be submltte• •se. -ntly pprov
Sig
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this permit Is for construction or on a dwelling, the dwelling Is/will
it inure to the property owner. 3) The signatory is the property
4) All construction Is to be done In full compliance with the City of
review at the City of Spokane Valley Permit Center. 5) The City of
ederal, state or local laws, codes or ordinances. 6) Plans or additional
d before this application can be processed.
Date:
Updated 1-11-11
http://www.spokanevaltey.org/filestorage/124/938/210/948/1496/2743/Reroof.doc
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