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2013, 11-08 Permit App: BLD-2013-2317 ReroofSpokane Valley Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcentersooka nevailev.orq REROOF CONSTRUCTION PERMIT APPLICATION ❑' COMMERCIAL SITE ADDRESS: ASSESSORS PARCEL NO.: BUILDING OWNER NAME: ©E'RESIDENTIAL LEGAL DESCRIPTION: I �2 6 j3_ J r 17 Project # t-) J HEGLIVED NAME: ADDRESS: 3(... CITY:�'S /1r-/<_, Nuv 0 8 2013 PHONE: s39 99,0_7 / 9 FAX: CONTACT NAME: STATE: /A PHONE: FAX: csv PERITet SUB # REV. # Cl CELL: CONTRACTOR NAME: �� -(' l ( 7 MAILING ADDRESS: CITY: STATE: ZIP:. PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE HE SC97 OFWORK IN DETAILA,a AND NDICATE ��/ / ,p,G„ g -le -a -r Off TOTAL COST OF PROJECT: $ Overlay 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 may be required to be submitted and subsequently approved before this application can be processed. Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc