2015, 03-11 Permit App: BLD-2015-0456 Tear Off, Reroof Xrr 11 15 11:38a Alpine Construction 509-448-5504 p.1
Sep. 27. 2013 10:44AM No. 5031 P. 1
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'el' community Development Department
Permit Center (Staff Use Only)
SliOkane 11703 East Sprague Avenue,Mike er3
Spokane Valley,WA 99206 PERMIT NuMoER
40.00. a Tel:(509)688-0036
Fax:(509)688-0037 Peuar Fee;
perwnitcenterestinkanevaliev.Ora
REROOF CONSTRUCTION PERMIT APPLICATION
Lr,, COMMERCIAL >gRESIDENTIAL
SITE ADDRESS: -S7---1 `1 t 3'2_. 19 S (2_,4,- � 'L. o n�t��, x
ASSESSORS PARCEL NO.:i-I53.a1.Q -i LEGAL.DESCRIPTION: _
BUILDING OWNER NAME:
ADDRESS: Sitar �-kr /
/
CITY: STATE: ZIP:
PHONE: FAX CELL:
CONTACT NAME: .D A R t v S 12—A P P E.
PHONE: FAX: CELL:
CONTRACTOR NAME: A L P i N E- C c)..-; S i ? `-' ( 'F i 0 Irl
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MAILLNS ADDRESS: LI`( 19 e C L er4 M A-, •2_6 GO /z.
CITY: P r7 Y A t` STATE: �- A ZIP: Cit 9 Z Z 3
PHONE: (-1 4I i • S o G 9 FAX: LI q CI.• t u:
S-(3 q ta
CONTRACTOR LICENSE NO.:A L P t N k C' o 5 Ba'4"eIORRFS:l 0/3/ L/3 CITY au5INP9s LflXNSE NO.: T/ Z c.,0 3 3')I 2 v S
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
�mri. v E' (2 e - 1Z- o r
ear Off IN Overlay
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TOTAL COST OF PROJECT: $ U� TI S
DISCLaal
Tete permitted verifies,acknowledges and agrees ty their signature that: t)it tills pan/els for construction or on a dweiteig,vie dwelling WWII
be served by potable water. 2)Ownership of this city or Spokane Volley 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) AN construction is to be done in Full compliance with the City or
Spokane Valley Development cone. Referenced codes are available for review at the City of Spokane Valley Permit Cenl r. 5) The City of _
Spokane Valley perIt Is not a permit or approval for any violation of federal.state of local laws,codes or ordinances. 5) Plans gr addI Lanai
Information may be ulred to be submitted and tub tly approved before this application can be processed.
Signature�-�.�____
Date: 3 /i 1 // s—
Project #BLD SIS--O S(
RECEIVED o
MAR 1 1 2015
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CSV PERMITT CENTER i
Updated 1-1I-II httP://�-spokanevalleyl or s' ee424/9$8/�tsbli/48A496/2743/fieroof.dmc page 1 of 1
Received Time Mar. 11. 2015 11 : 45AM No. 1586