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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 v ( ,)-3O D:26; 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. ‘�C �L 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