2014, 04-03 Permit App: BLD-2014-0647 Re-Roof SeP. 1'2. 13 10:46AM No. 4815 F. j '
Community Development Department
Permit Center (Staff Use Only)
SOokand°11111°211411111141, 11703 Uast Sprague Avenue, Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER:
:
Tel; (509) 688-0036
alleapax: (509)688-0037 PERMIT FEE.
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REROOF CONSTRUCT/ON PE • MIT APPLICATION
J COMMERCIAL , ----- 4f, 1,1 j RES DENT ' L
IF 1411.
ASSESSORS PARCEL NO.: , LEGA DESC- •TIO :
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EtiXLDING OWNER.NAME: Li A j4 r'J V V 0 ( e—
'N'Iltu,., ,(641--(4--- 1 - ' -di' \--e Li AW ,,,k__
cll.NI P4 14 :4 A 1 � STATES (�// ZIP: CL)?O t6 .
PHONE: • c2'27-_-_-cg FAX! �� CELL.:
CONTACT NAME; .• ))))
ai-:olrr Fax: CELL:
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CONTRACTOR NAME: Of tii9 crL-Fh p,e, '` -
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: dAI7DRE95: ( 1 u D {�yoD a_ Y / r '.
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dONTRACTOR LICENSE No.• gyp-7- ,'�j : -.- ,1 Y BUSINESS LICCNSE NO.: -,..
DE C�IR1BE THE ' •E OF O.' IN DETAIL A E. G'•TE U •E:
ekes ,rte J,s r �I A f-
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e► .'` d r.Off az, MI Overlay .
T;? TAt CbST OF. PROJECT: $ _i '' I •:r
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The permitted verifies,acknowledgas and agrees by their signature that: 1) If this permit 1s for COnS4rbetiOn Or On e dwelling,the dwelling is/w111. •
laserved by potable water. 2)Ownership of this City of Spokane Volley permit inure to the property owner.3) The signatory is the property
Owner or Ns permission to represent the property owner In this transaction. 4) Ail construction is to be done in full compliance With the City of
Sabkane Valley Development code. Referenced Cedes are available for review et the City of Spokane Valley Permit Center. 5) The City of
Spokane•°vailoy permit is not a permit or approval for any violation of lederel, state or local laws,codes or ordinances. 6) P1-ns or add Boni
I11 orrn Vori ma be -lt ulred to be et-miffed and subseq ant approved yfare this application can be processed.
Si r ihare : / / .r .J..mj ,. ' . -..4..11ii./ .... Date: 7 07 • ..
Mcthod.oa payment: ❑Ca•h ❑ Check 0 visa r----Q"-,:.a1t rrarc1
6131114car.d EXP: 1Pr •ec `z VIN#: 1/ 1 6,y7
Aliti1B.FIZed Signature:
rftrtivp:Ocrcber 28, 2007cge i of 1
r:,•P:\ConImunity Development\O2 Adminrstration\03 Forms- Official Versions\Permit Center\Reroof Construction PermliApo
3.0.28.07.60C
V CSV PERMIT CENTER
;�. , SUB # -- REV. # I 1