HomeMy WebLinkAbout2015, 06-11 Permit App: BLD-2015-1370 Re-RoofCommunity Development Department
Permit Center
Spol�ane 11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Valley Tel: (509) 688-0036
� Fax: (509) 688-0037
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permitcenter@sookanevalley.or4
REROOF CONSTRUCTION PERMIT
= ISI -70
Projese Only)
PERMIT 0@19R
PERMIT FEE:
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PPLCftAffdt4 CENTER
COMMERCIALRESIDE REV•
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:)
ADDRESS:
CITY:
PHONE:
FAX:
STATE:
CELL:
CONTACT NAME:
PHONE: " 22 �C FAX: CELL:
`% )CONTRACTOR NAME: �� c> S _ �• �..vy o2
MAILING ADDRESS:
. CITY:
STATE: (1/i � ZIP:. aq _Z (:9
PHONE: FAX: CELL:
CONTRACTOR LICENSE NO.: L (({� �! LEXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off
-0 Ell Overlay
TOTAL COST OF PROJECT: $ 6 st `�—
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if
be served by potable water. 2) Ownership of this City of Spokane y per
owner or has permission to represent the pro owner in saction.
Spokane Valley Development code erenced co a ailable for re
Spokane Valley permit is no ermit or appr v r violation of feder I
information may be re d to be submitsequently approved be o
S
is permit is for construction or on a dwelling, the dwelling is/will
it inure to the property owner. 3) The signatory is the property
4) All construction is to be done in full compliance with the City of
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at the City of Spokane Valley Permit Center. 5) The City of
, state or local laws, codes or ordinances. 6) Plans or additional
re this application can be processed.
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_l-11-11.doc