2012, 08-15 Permit App: BLD-2012-1321 RoofvalMINO
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Jun. 1. 2011 8:51AM . SookanCom unVal tyD vemolpmeCenter
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Permit Center
okane11703 East5pra4ue 9ve0ue. 5ulte a-3
SDOkanValleyWA99206Tol: (509) 6980036
\�i113ra hex: (509) 689-0037
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PPRMIr NUMBER:_
Pegror Fes: D 50.1
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL
SITE ADDRESS: 3 914 Obt-r`tr^
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
124 RESIDENTIAL
BUILDING OWNER NAME;
NAME: e/U.r-VIS, Bash
ADDRESS:
agIR S Dbr.X.c,
WY: SPOk.ctn�
meows: _
PAX:
STATE: 0.4
zip! Q 4 aaG
CELL:
CONTACT NAME: TA j L (2,0D 4 ct53p-I1
PHONIC • 53S-I%6C' FAX; 5x33'C1630
CONTRACTOR NAME: %rtil0.414 x041
MAILINOADDR'E®9: 55as sprettAt. Ave.
Mt:
Cirv: .. . • STATE'
PHONE:
6
CONTRACTOR LICENee No -.6 I NL.AAJAS04y4A rXPIRES:
CELLO
uSJ
cITv uus:Noss uceNSE NO.: (,O( Ol• 114
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
d�an4- Bxy[!
Tear Off
TOTAL COST OP PROJECT: $ qga, Od = a $-7.
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owner or has permission to represent the property owner in tius transaction. a) All -construction I5 to be done In NII compliance win the City of
Spokane Valley Development coda. Referenced coda& e►a avallatrlo for ,.view et the City of Spokane valley Permit Center. 5)- The Cry of
Spokane vatky permit Is not a permit or approval for any vroletfon or federal, state or local Iowa, Codes or ordlnancoa. 6) Plans or additional
information may be required to be submitted and subsequently approve lore this application Can be processed.
Date: 2 I 1 S -1D -
Signature
P IpbSP - - cr. \TI
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Updated 1-11.1 L
http //www.rpokanevalley.org/rllestorage/124/939/210/9&8/1496/Reroof_PormlLI-11.11.doc
Received Time Aug. 15. 2012 10:48AM No.9382
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