HomeMy WebLinkAbout2014, 08-28 Permit App: BLD-2014-2069 ReroofHUta-L (-LU1`F 1J: lb rKUI'I: IFNLHIVU KUUr 1iVla DU7JJJ703U
Jun. 1. 2011 8:51AM Spokane Valley 1'e:mi l !;enter
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel; (509) 69B-0036
Fax: (509) 680-0037
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1 U • OOOCJ'UJ 1
No. DUO r. 1
(Staff U®o Only)
PERMIT NUMBER: 1
PERMIT FEE": 3 (15.7 $
REROOF CONSTRUCTION PERMIT APPLICATION-:
COMMERCIML RESIDENTIAL
SITE ADDRESS: 1 "I/� i c - . ma-rCU.5 (A- .
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
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BUILDING OWNER NAME:
NAM JQ\f\ Nlcafi"t,)r)
CEcri: r*.c1;(Z
PHONE: FAX:
CELL:
rCRMIT CENTER
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CONTACT NAME:
PHONE:
FAx:
CONTRACTOR NAME: It\a4- �Op�lTr S►�.pp1N �r
' MAILYNo AvfJR f$?:
- Ctrv: SFatco.act, t L43 STATE: \Aj A
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zip: 5gi.111.
PNotIJH SQ .$ — 15!0 FAX: $QQ $ $Z—C(030 CELL:
CONTRACTOR LICENSE No,, J JLt p1ASOLyJA Names:
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CITY BU91NESS UCEN5C NO.: (.01 6-1t� ( lti
DESCRIBE T1E SCOPE Of WORK IN DETAIL AND INDICATE USE:
o4' 6 ry -ra4-
Cr Tear Off [r Overlay .
TOTAL COST OF PROJECT: $ � 176. 00
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The permitted verifies, acknowledges and agrees by their signature that! 1) If chtg permit Is for construction or an a dwelling, the dwelling Is/will
be served by potable water. 2) 0wntrship of thls City of Spokane Valley permIt intro to the properly owner, 3) The signatory la the property
owner or has permleelon to represent the property owner In this transaction. 4) An construction to to be done In full Compliance wun lila City of
Spokane V.iley Development code. Referenced codes ere avaihbre ror review it the City of Spokane Valley Permit Center. 5)- The City of
Spokane Volley permlt Is not permit Or approval for any vlolatron or federal, c.tets or local Tows, cod or ordinencos. 6) Pang or additional
Information may bC requrredo be submitted and subsequentl roved before this application can ba processed.
Signature////_:),
Date: $1,2i J 1
Updated 1-11-11.
httpWwww.rpokanevalley.org/filestordge/124/938/310/948/1496/Reroor_PermIL1-11.11.doc
Received Time Aug, 27. 2014 3:OOPM No. 0886
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