2013, 09-05 Permit App: BLD-2013-1774 Tear Off, ReroofLang Roofing
OCT 26 208641:02 FR
®Nabaus. Permit Center
11707 E Sprague Ave, Shite 106
Spokane Valley, WA 99206
.000 ley
(509)688-0036 PAX: (509)688-0037
Cor*+mnriftyDevelopment www-nakanevaltev,nree on\
Reroof Construction
Permit Application
5095320893
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P.01/03
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COPY SLP -2-0.13-1-r7+
0 Commercial
)4l Residential
SITE ADDRESS ) Ol01 t� �5 ��fs\ Kim 0109 --
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
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Name:
City; l'0014..ct >1e_., Zip: RCI(2-62
Address:
Lie No: LMIeikeke 5S Exp. Date: .) - a (S t3
City Business Lfc No:
Phone:
Fax:
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Name:
Phone:
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Names LQ. ""Ro: c -A t'\c
Addrett: POO, e . Pact f L -owe_
City; l'0014..ct >1e_., Zip: RCI(2-62
Phone: 52,2-' Z Fax: -JZ • 625:VS
Lie No: LMIeikeke 5S Exp. Date: .) - a (S t3
City Business Lfc No:
1 Project #aJ
Describe the scope of work in detail: Tear off R E C o 10YLr23y
f C\16 ¥Q r, ,- c� ` /ix / _ re_ i
Cost of project
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1 t' its 2013
CSV PERMIT CENT R
SUB .#
P. E V. r I
DISCLAIMER
The permltes verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction of or on a
dwelling. the dwelling Islwitl be served by potable water. 2) Ownership of this City of Spokane Valley Permit Inure to the
property'owner. 3) Tho signatory 1s the property owner or has permission to represent the property owner to this
transaction. 4) AI! construction Is to be done kl full compliance with the City of Spokane Valley Development Cods.
Referenced codes are available for review M the City of Spokane Valley Permit Canter. 5) This City of Spokane Valley
Permit is not a' permit or approval for any violation of federal, stale or local taws, codes or ordinances. 6) Plans or
additional information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of resulting development rights granted by any Issued permit Inure to the property owner.
Signature .
Oats
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
1:3Cash 0 Check 0 Mastercard 6 VISA
REDACTED
Ban keard#:�.A/ /J expires- REDACTED vita:Authorized Signature:
a�
s<veao vr�rsoos
0 Other
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 G52014-030.