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2011, 09-12 Permit App: 11002811 Re-Roof , Community Developi nt Department __ _• Permit Cents'4 (Staff Use Only SjiOkY 11703 East Sprague Avenue, Suite B-3 / ane Spokane Valley, WA 99206 PERMIT NUMBER: I( � t ValleyTel: (509) 688-0036 6 A -7T Fax: (509) 688-0037 PERMIT FEE: permitcenter©spokaneva Iley.orq REROOF CONSTRUCTION PERMIT APPLICATION COMMERCIAL Re,RESIDENTIAL SITE ADDRESS: 1 6 /5- . �i'43 E, L._ i /J .Ib I pp VA&LE, k) 4 ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: `EE p'-9_11 1 rf\Lf,Q . NAME: �`E✓, LI I (Tl L E Q__i ADDRESS: i5j ) D1,13,7142___L- I ISL K . CITY: ♦ i _AN E 0 A LC EL-i STATE: iL) IPt ZIP: q qt2o VJ PHONE: FAX: CELL: -g W 6/- 70 T CONTACT NAME: `--XE aRk-i` y f1'1 L- Q PHONE: FAX: CELL:L5 V"1 -8(c q.-7 0 (4 -.- CONTRACTOR CONTRACTOR NAME: e 'e-L_-- _ rA m IL LI MAILING ADDRESS: 3A m tl P430 L) CITY: STATE: ZIP: PHONE: FAX! CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 1_A P.__ V i" t'- D L l7 Ry 0 i >19 L A L) \Ma c0N 1. C_i r ,.5-)4 ).E L 6 A 2. 4Ap+:12. Aj D N rL,Lnez--)_F- i_ C� .-45 i- / NWL. 5 Tear Off El Overlay TOTAL COST OF PROJECT: $ e70 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. Signature eim�•� r Date: q (� 1/ Updated 1-11-11 Page 1 of 1 http://www.spoka neva l ley.org/fi lestorage/124/938/210/948/1496/Reroof_Perm it_1-11-11.doc /lift tkpectA) 140 Zwa_u(c) C JaLt - AcL oc)A,A,)kj