2014, 04-21 Permit App: BLD-2014-0835 Tear Off, Reroof7/
Spokane ~'
_#Valleys
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter@spokanevalley.orq
REROOF CONSTRUCTION PERMIT
ID COMMERCIAL {{A
SITE ADDRESS: Nig 5. fleDz"ald
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
(P a-o(q i2c7�5
rowel ('taff Use Only)
pERminaggi I V E D
PERMIT F4 7 ffiti_v'
APPCL
SUI3 4:f
RESIDFNTrAI
&ENCENTER
''NEV. r �1
BUILDING OWNER NAME: eAS5/Hae<1
NAME:
eassatArg 004i L n
ADDRESS: 2..611q
S. i1cbavcA
CITY:
PHONE:
C QbYna. \jauv�(,
STATE:
ZIP:
56i1,- 4t137"7
FAX:
CELL:
CONTACT NAME:
PHONE: FAX:
CELL:
CONTRACTOR NAME: :f 6rFpJ
MAILING ADDRESS:
CITY:
470 0. 5ttA.MtJct\C Dr . •
cdVcck UCAt 1
PHONE: SA-6',9r—qSV� FAX:
STATE: V..
ZIP: Lein,
CELL:
CONTRACTOR LICENSE No.: OF1= 1CLE7 I JEEXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE PTHE SCOPE OF ��IW""ON ww
WORK IN DETAIL AND INDICATE USE:
"recur ACY CKE .AIh4- 1 f 2putcc O & .ec( Sueal�1
IK�Ia GAF U 1.Cr%Ilyue 10nn
Tear Offft
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TOTAL COST OF PROJECT: $ ,bop
Overlay
DISCLAIMER
The permitted verifies, acknowledges and agrees by thelr 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 re ed to be submitted and subsequently approved before this application can be processed.
Signature
Date: 4 -Zi 'EN/
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc