2014, 08-04 Permit App: BLD-2014-1860 Tear Off, Reroof '\ftlftti
Community Developnent.Department
Permit Center (Staff Use Only)
SpokaneSpokane
East Sprague Avenue, Suite B-3
Spokaa ne Valley,WA 99206 PERMIT NUMBER:
Valley Tel: (509) 688-0036
® Fax: (509) 688-0037 PERMIT FEE:
oermitcenter@sookanevallev.orq
REROOF CONSTRUCTION PERMIT APPLICATION
El COMME:RCIAL 1FRESIDENTIAL
SITE ADDRESS: . Or V- A ��vw 0
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: RECEIVFn
BUILDING OWNER NAME: • .6.7.7.4. 91...____\
NAME:
ADDRESS: (°sod_ �. SiKP ' CSV PERMIT CENTER
CITY: bkik4e, J}k STATE: IA-)A , - 1 A F V. = L____J
PHONE: FAX:
CONTACT NAME:
PHONE: FAX: CELL:
• CONTRACTOR NAME: oR< �, , • ,t6
• MAILING ADDRESS: •Z I,gs-I• E. . +nut.L 4t La
• . CITY: .L.I J. i- LUE, STATE: �/v' ' •
. .ZIP:. .(1161019
PHONE: (Soq ) 12U' Sige FAX: • CELL: 6,.-.,6_ ,7O- 07gcCONTRACTOR LICE/NSE NO.: mu ORiNNutinb PA EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
TEAR_6..e i kEs -. ,irI i bwrot..3
E'�
a ear Off Ill Overlay
OTAL COST OF PROJECT: $ 6140°
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 requiired to be submitted and subsequently approved before this application can be processed.
Signature
ALA'
I, Date: 01(i l
•
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc