2015, 03-11 Permit App: BLD-2015-0458 Reroof Mar 11 15 11:38a Alpine Construction 509-448-5504 p.3
Sep_ 27. 2013 10:44AM No. 5031 P. 2
Community Development Department
Permit Center (staff Use Only)
11703 East Sprague Avenue,Suite B-3
*mane
Spokane Valley,WA 99206 FERMI Plumage:
Tel:(509)688-0036
a, Fal: (509)688-0037 PERMIT FEE'
perrpitcenterdespokanevallev.orq
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL SIDENTIAL
SITE ADDRESS: 2._. > Cu iA W
ASSESSORS PARCEL NO.:35 2(o). i- LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME A 7 c.7s kl l 5 e. j elLe N C c_,
ADDRESS: S��it.t (4-2-
CITU: STALE: ZIP:
PHONE: FAX! CELL:
CONTACT NAME: D A (.2, t v S ILA p pc-
PHONE:
EPHONE: PAX: CELL:
CONTRACTOR NAME: A . P 1 N(_ C O^J S i CL`-; ( T l o N
Mamma ADDRESS: "1 ICI e 61) L e N n/ A-r e It.
GIm S P o LK A N e STATE: A zuv: c 9 Z Z 3
PHONE: q q s • a o G 9 y 4S s-S cD q CELL'
CONTRACTOR ucENsu No.:A L.P i N C 0 9 Sac1exatiru?S:i e/31 I/3 CITY BUSINESS LICENSE NO.: T! Z v 0 3 3 r/ 13 krg
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Ur
M Tear Off Overlay
TOTAL COST OF PROJECT: $ ? S'
DISIXAXMER
Tire permitted verifies,acknowledges and agrees by their signature that: 1)7 this pal-mitis for aonsuucuon or on a dwelling,the dwelling isfwUl
be served by potable water. 2)Ownership at this City or Spokane Volley permit Inure to the property owner.3) The signatory la the property
owner or has permission to represent the property owner la this transaction. 4) All construction Is to be done in rtrlr compliance with the City or
Spokane Valley DeveIopatent code. hafereeced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perm, is not a permit or approval Tar any violation of federal, state or local laws,codes or ordinances. 6) Plans or additional
Information may be squired to be submitted and Luesegu approved before this applicallorr can be processed.
•
Date:
3/r // S^
Project 134-1--acis-D`is`ci
RECEIVED 2i)
LIAR 1 1 2015
CSV PERMIT CENTER
updated 1-11-11 5 r f I REV, .7-Y Iof 1
http://wwwokanevalleyor9/Riesforage/524/93A,F2 / ���/Rareaf dao
Received Time Mar. 11. 2015 11 : 45AM No. 1586