2013, 11-01 Permit App: BLD-2013-2276 ReroofSpokane
4.00°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
permltcenter@SDokancvsl,uev.oro
REROOF CONSTRUCTION P
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
RMIT APPLICATION
Ei COMMERCIAL C66:50410? -Ce.
SITE ADDRESS:
ASSESSORS PARCEL NO.:
r.
inRESIDENTIAL copy
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
LetIII
ADDRESS: ' V J S C_f '
CzrY:
PHONE:
STATE:
CONTACT NAME:
PHONE: CrI 1 ` 1,9„
CONTRACTOR NAME:
Fax:
FAx: CELL:
ZIP: 99ta_ 1
FAX:
P. ,EA00 blib a F r~1
CELL:
MAILING ADDRESS: 96 0. it6c,>.e. k '1%4
CITY: 9Qe,N4G, STATE: /�
PHONE: ,OC\ — '�' 55 3 - 1 t OO FAX: l V 3- l k O 3
CONTRACTOR LICENSE No.2c hizE& VI (..qp.AEXPIRES:
ZIP: 9(311/404-1
CELL:
CITY BUSINESS LICENSE NO.:
DESCR_ : OPE OF WORK IN DETAIL AND INDICATE USE:
0 Overlay
OJECT: $ 7, 7i3 3
The permitted verrne!::, acknowledges and agrees lay 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) fhe sign3tury is the property
owner ur 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 cudc. Referenced codes are available for review at the City of Spokane Volley Permit Center. 5) The City of
Spokane Valley permit Is not a permit or approval foi any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to be suhmltted and subsequently approved laefure Lhls application can be processed.
Signature
Updated 1 11-11 Page 1 of 1
http://www.spokanevalley.ury/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc
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