2011, 09-30 Permit App: 11003085 ReroofSi*b
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter(la sookanevallev.ora
(Staff Use Only)
PERMIT NUMBER: 1 ` - 30vQ
PERMIT FEE: 1 t C 7 54 y
REROOF CONSTRUCTION PERMIT APPLICATION vial
11:. COMMERCIAL RESIDENTIAL
SITE ADDRESS: 331R 5 f1c.- s r
ASSESSORS PARCEL NO.: 4 331.2105' LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
k.)tiK2-0-11"A
ADDRESS: 331% S (Y)Lisp," + ii-1SA" �[ .
CITY:OKWA-1,-6Y
PHONE: 50D)-- 1)38 -72,09
CONTACT NAME:
STATE: WA
ZIP: -7g7.011i
Fax:
CELL:
PHONE:
FAX:
CELL:
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS:11420 E. MONTGOMERY
CITY:SPOKANE
STATE:WA
ZIP:99206
PHONE:(509) 928-4686
CONTRACTOR LICENSE No.:MCVAYBC346ME
No.:N/A
FAx:(509) 252-2996
ExPIRES:N/A
CELLNIA
CITY BUSINESS LICENSE
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1<A2 (WY 125C%V
',1! Tear Off Overlay
TOTAL COST OF PROJECT: $ 4P -i1
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 additional
information may be required to be submitted qr{d subsequently approved before this application :can be processed.
Signature
Date: gl,Z411)1
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