2013, 10-09 Permit App: BLD-2013-2074 Tear Off, Reroof*acme
..#Valley
Community Development Department
Permit Center
11%03 East Spruyue Avenue, Suite B-3
Spukane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm ItrentrtOsnokaoPval1Py.org
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE: /I471 75
REROOF CONSTRUCTION PERMIT APPLICATION
E] COMMERCIAL
SITE ADDRESS:
al E AotA
RESIDENTIAILect ft.I9 do-7g-
RECEIVED
o-7`iRECEIVED
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
CIT':
PHONE:
--DZAEtC) CD
tai E
5.V
STATE:
WI)*
QUI U y 20)3
CSV PERMIT CENTER
SUR
CC,/ I
Z P.
FAX:
CELL:
CONTACT NAME: ,.10E
PHONE:
q
9-11-S193
FAX:
CELL:
CONTRACTOR NAME: PG aC„)J606 I�roF 10E)
MAILING ADDRESS:
CITY:
PHONE:
eHHENOUD ROOFING CO
PO BOX 7174
SPOKANE WA 99207
STATE:
ZIP:
FAX: CELL:
CONTRACTOR LICENSE NO.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL. AND INDICATE USE:
TEts.2— OFA 1 Xc_ /C.457 w) (N S14 -I NUErP-
)1'tTear Off El Overlay
TOTAL COST OF PROJECT: $ 5J �� (2_,
DISCLAIMER
The permitted vermes, acknowledges and agrees by their signature that: 1) it this permit Is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spnl ane Valley permit Inure to the property owner. 3) The Signatory I5 the property
owner or has permission to represent the proper fy Owner in this transaction, 4) All construction Is to be done In full compliance with the City of
.Spokane Volley 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 ordlrlances. 6) Plans ur additional
Infor mal.Ion may tx-:=wi•strod it h bmltted and subsequently approved before this application can be processed.
Signature
Date: !o -9-i3
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.ory/filesturaye/124/938/210/948/1496/Reroof_Permit_1-11-11.doc
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