2014, 06-02 Permit App: BLD-2014-1265 Tear Off, ReroofSpokane '
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 686-0035
Fax: (509) 6860037
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Project ,�——��
PERMIT NUMBER: L,
PERMr14L4 '; 0 2 2014
REROOF CONSTRUCTION PER . PPET ATION/ -
Q COMMERCIAL L RESIDENTIAL
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CSV PERMIT CENTER
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
aUTLDINe OWNER NAME; Q U L•Q•
•
NAME;
ADDRESS: 3•
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CITU:
PHONE:`
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CONTACT NAME:
PHONE:
FAX:
9
STATE: '3iN
71-5-115 FAX:
CONTRACTOR NAME:
ZIP: 1.
CELL:
CELL!
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MAILING ADDRESS: 9• 0 • l 75oye •^'1 1 r, 1 --
Cny: Pa/��tt..k e jj vT STATE: e 9 2, 0 '7
PHONE:
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CELL:
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CONTRACTOR LICENSE NO.:TL estate. i i i D 11 EXPIRES:
rr' CITT BUSINESS LICENSE NO,:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE `y- — — — -
DISCLAIMER
The wledges and
rees
heir signature Ulat;
bbe served
ev dhby potable
ot bleswater.o 2) Ownership of this Cy i of Spokane Valle 1) If it inutrmio Ist forconstruction
r, On a he sigma ry it thein p; property
permission to represent the roetransaction. permit i All co st the un S owner, 3) The signatory 9 /
Spokane Wiley Development code. Referenced odes are availableforreview at the JC y of Sp to be dokane ne Valley emitCenter.
compliancewith ThetheCity
of
Spokane Valley permit iS not a permit or approval for any violation of federal, state nr local laws,, codes oordinanc Is. CE) t Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
T OF PRO]ECT_$ il�•
Overlay ------
Signature
Updated 1 1111
Date: G - z- I
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