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2014, 10-22 Permit App: BLD-2014-2588 Tear Off, ReroofSti I! ne ,valley. Community Development Department Permit Cente( ' 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509)688-0036 -7A0-52VO Fax: (509) 688-0037 permitcenter@spoka nevallev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: REROOF CONSTRUCTION PERMIT APPLICATION 0 COMMERCIALRESIDENTIAL ^fin SITE ADDRESS: /05/7 /2 l/SS/!l/v 4,ae• I Project X201 �i�j8 ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: RECEIVED BUILDING OWNER NAME: D)Q-h NAME: EL Gt J. /1°1-(X S ADDRESS: x/2)5/ 7 c- •`/w' CITY: \. LCX2'tL C&/%/e//' //I%�/._CXlG-I STATE: PHONE: i5 -2N- 9Y7 -�_4,7(cU/!� J FAX: /� CONTACT NAME: EG/�Ca42/`Zet / Io//LLLU /, )6GGL�� PHONE: LJ /� - % �T - 7(O 76, CSV PERMIT CENTER i, l I SUB �r-/�/Z12:1:I c/y�r��v""� GG/ CEL gszcz- /ii /76/ FAX: CELL: 609-95zct /70/ CONTRACTOR NAME: &J25 MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: (.4tac) h LA -02n and °2 .) Q Tear Off t at TOTAL COST OF PROJECT: $ ❑ Overlay r� 7?2L,tMUir_d-1 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 mae required to be submitted and subsequently approved before this application can be processed. Signatur Date: /0002 420/ �. Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Reroof.doc