2014, 07-14 Permit App: BLD-2014-1676 ReroofAlpine Construction
Sep. 2i. Z1:1I5 IU:44Ht)
community Department
dois"us
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
e Tel: (509) 688-0036 '.
fegoinEley
• fait (509) 588-0037
permioamnrramookanevaliev.ort
509-448-5504 p.1
Ire•
/11.11 1 • L
REROOF CONSTRUCTION PERMIT APPLICATION
IN combERam t ` f
SITE ADDRESS: y 1 ('I
/J LvCIL
RESIDENTIAL
E 21)
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER PLANE:
NAME: J O L1A 1 S on)
ADDRESS: cS frw_ tE
Cm: Snare: ZIP:
PHONE: FAX! CELL:
CONTACT NAMfr
PI(ONE: FAX: CELL:
CONTRACTOR MANE: ALPINE Go"-' S i rtu C r i o N
MAILING ADDRESS: LI t{ 19 G G) Let., N . - st C A A
Clic: 5PalACANE' Suit \ i i -1A DK99zz_3
mow gsl.a•&o49 Eve t7iyca- sSOLI rou•
coronation =erase No.:A L. P I N c *r o S ssu'e#PSEs / oJ3/ // 7 CITY anSmeE85 LICENSE tato.: T 1 2.00
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
II Tear Off
TOTAL COST OF PROJECT: § 2-9 CJS
Overlay
MECUMS
aclwovdSys and agroa+ try theb signature Mot 1) T rtrb pennft is Por con6Vvrtmn or an a (keening, the avoain.g es/..vl
be served by potable water. 2) Ownertlp of this City of Spokane Wiley permit Inure to the property o,uc 1) 7FRSNnatcry la the pro -petty
owner or has permtsStee m rent the property mane in this transaction. 4) AB construmon is to be done in tua ampitkae wall the CRY et
Soutane Valley cone. aaterenced codes are available for renew at the Oty of simian= va5ey Perms: caster. 5) The aty of
Spokane barley panne, not a permit or awloval for any Deco of federal. stale or loadFla
taws. cedes or ordinances. 6) ns or additional
Inramarsan may be to be svbmtted and approved before thls appatellar& an be Recessed.
e Date: 7 /
Signature
Project # gL
RECEIVED
JUL 142014
rRV PERMIT r NTFR
updated 1-11-11
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