2013, 08-30 Permit App: BLD-2013-1741 Tear Off, Reroofg 29 13 09:02a Alpine Construction
c 1i703ES
509-448-5504 p.1
Project #61,2-%OI3' l -14i
Permit Center PERMIT NUMBER: Q� v — 2t
�IISpokane Prague Ave, Suite B-3 RECEIVED
Valley, WA 99206PE' .o FEE: j bkq , 1,5"
..Valley• (509)688-0036 FAX: (509)688-0037 AUG 3.0 2013
permitcenter(alspolcanevallev.ort; `!
Community Development
CSV PERMIT CENTER
s !� Commercial
® esidential
Reroof Construction
Permit Application
SUB #•
Ct
13-I-14/
SITE ADDRESS: I O E. O Z E tin A x w t.
ASSESSORS PARCEL 140:
L 0127
Building Owner:
Contractor: -.
Name: �OGKtI
5 L N t gaf-N
Name: AcPI NEc... (N ST,wc' rent
Address: o� v -L.-
E NL Ary_ LA
r � L
Address: yap 9 s C, t e..,af At s 2 & Ate.
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City:
State:
Zip:
City: Sp ,0 Ic, 4,, ...44 State: a Zie?iZ2
Phone:
Fax:
Pbonet + `ex �3 Ce c q Fax: 1/4-114 g - SS --0 4
Contact Person.
Name: fl A O_ a —3 S P-.rS P Pg.
Phone: y 4 ca ' `3 0 1
Describe the scope of work in detail:
City Business Lic. No:
Tear off ❑ Overlay
Cost of project: $ SS'7S—
The permitee verifies, acknowledges and agrees by their signature that: 1) If this petit is for construction of or on a
dwelling, the dwelling islwill he served by potable water. 2) Ownership of this City of Spokane Valley Petit 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 for any violation of federal, state or local laws, codes or ordinances. 6) Plans or
additionat information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of r9suiting development rig ls granted by any issued petit inure to the property owner.
Date 8 l2R 113
Signature
Method of Payment:
0 Cash 9 Check ❑. Mastercard
Bankcard #: .REDACTED - ; 4 Expire -
Authorized Signature -2
REDACTED
Effective October 28, 2007
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P:Community Develapm nABvilding DivisionUodi-conmeltPCFVtemof Building Permit App.doc
VISA
vlf-' REDACTED
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.