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2011, 06-24 Permit App: 11001869 Tear Off, Reroof Community Development Department or '' Permit Center (Staff Use Only 11703 East Sprague Avenue, Suite B-3 J (p� SCITY okane Spokane Valley, WA 99206 PERMIT NUMBER:// Valley Tel: (509) 688-0036 Fax: (509) 688-0037 PERMIT FEE: lf✓�.. 7 permitcenter@spokanevalley.org REROOF CONSTRUCTION PERMIT APPLICATION El COMMERCIAL XRESIDENTIAL SITE ADDRESS: /$ 72 2 i 5 PX-11- e- ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: Sc. v i T -37.11—ng. i ADDRESS: /`d 7 2 Z 5/ir2A(rvE CITY: 5/00x Ai "G- VM-L 1.ty STATE: WA ZIP: 9 9" PHONE: FAX: CELLO <0 9- 2 6 3 c CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: �it/X/ IVO JtiT4//-' fiA.1-4014- Ca./4"'i02-Y..#-i..T-//43— MAILING ADDRESS: 5-Vo 3 N• I./N e-c e..x...) 52 CITY: 5POK/4/c' --- STATE: WA ZIP: 999205- PHONE: FAX: COS- 32 6- 4,776 CELL: Sia- 3V2--(17k6CONTRACTOR LICENSE No.: //QNE/2/4--94J,/gEXPIRES: CITY BUSINESS LICENSE NO.: 0)2 F/S i/3$ DESCRIBE THE SCOPE OF WORK IN DETAIL ND INDICATE USE: 'EA-2 ofd- 2 G.A-y 72- 22c.,6 #1A-7 36 lie I.A-/L,///4--TE 2 2 Oct pi ►i Tear Off Q Overlay TOTAL COST OF PROJECT: $ Ye,o©. 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 cam_.__.._ ry - .__._. _ ` Date: 6--2 y-// Updated 1-11-11 Page 1 of 1 http://www.spokaneva lley.o rg/fi lesto rage/124/938/210/948/1496/Reroof_Perm it_1-11-11.doc