2014, 06-24 Permit App: BLD-2014-1481 Tear off, ReroofSiblane
jvalleya
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 9206
Tel: (509) 688-0036
Fax: (509) 688-0037
Permitcenter@spokanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL
SITE ADDRESS: 4-105—
ASSESSORS
i05—
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
NAME:
ADDRESS:
)1(RESIDE
%i p c.,,,, ��, pr0ject
LEGAL DESCRIPTIO1 : — /
RECEIVED (7
Ger .,,i 6-Q0 "-14" (-1-3 '---
CITY: S ()
PHONE: 569
CONTACT NAME:
PHONE:
STATE:
1 JUN 2 4 2014
CSV PERMIT CLNT R
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Fax:
CONTRACTOR NAME: TL, /G—c,/ gen"--N.
MAILING ADDRESS: eS;S_
STATE: 4.),k ZIP: .:1?)/
FAX: ,.zt L f L — Ld / 9 LL: $ZDL• D-3 O
CELL:
REV. 4 1 -------
RAID —,
CITY:
PHONE:
CONTRACTOR LICENSE No.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off
TOTAL COST OF PROJECT: $ /jy Oa,
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 per u' - • • •val for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be requ •e submitted and .u•-equently approve efore this application can be processed.
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Overlay
Date:
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/ 124/938/210/948/ 1496/Reroof_Permit_1-11-11.doc