2015, 03-11 Permit App: BLD-2015-0461 Reroof Mar 11 1511:39a Alpine Construction 509-448-5504 p.6
p. 27. 2013 10:44AM No. 5031 Y. Z
• Community Development Department
Permit Center (Staff Use Only)
11.703 East Sprague Avenue,Suite B-3
*alone Spokane Valley,WA 99206 PERMIT NUMBER:
Tai:(509)(509 698-0036
88- 3
40000ValleY0
Fax isag)6xEasogi 7 PERMIT FEE:
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REROOF CONSTRUCTION PERMIT APPLICATION
l COMMERCIAL SIDENTIAL
SITE ADORES& I t 2— S. S S ?' .v L . L,J
ASSESSORS PARCEL NO.:;3�at<,i, I e -i-LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME• , .& 5 ID t. -
swarms=
Crrv: STATE:
PHONE; FAx CELL:
CONTACT NAME: D A (.,t v S RA P (it
WORE: FAX: CELL:
CONTRACTOR NAME: A L P a !V L C S i 12 v T l 0 ler
MAILING ADDRESS; L1 1 C C7 L f Nts-I A-r C tO R.
CITY: S P d k A/•-' STATE: \2,..1 a ZIP: 't 9 Z Z 3
PRONE: y g 2, • L O Q q FAX! y g CI• s 5 C7.4 fsw
CONTRACTOR LICE Nse NO.:A L.P r N c•sk o s$M xpnes: i 0J3,/i 3 c ry uusInEes t.IcensE No.: r! 2..o0 .33-71 l3 ctS
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
(LAE- (2-1 o r
IN Tear Off Overlay
TOTAL COST OF PROJECT: $ Y
Dis
1h8 ptrmhted verifies.acknowledges and 28ree5 by their signature that:I)If this permit Is For construction or on a dwelling,the dnelfing IsIwIi1
be served by potable water. 2)Ownership of this city or Spokane Volley permit Inure to the property owner.3) The signatory Is the property
owner or has permission hi represent the property owner In this transaction. 4) Ni construction is to be done in full compliance with rite city or
Spokane Valley Development code. Referenced codes are fable for review at We City of Spokane Valley Permit Center. 5) The City of
Spokane Valley perm*not 8 permit or apptovai for any non of federal.state or local laws,codes or ordinances. 6) Plans or additional
information may be rerlred to be submitted and subsequ by approved before this application can be processed.
•
- .•
Signature Date: 3 / i /S
Project1t�t
RECEIVED Rs)
MAR 1 1 2015
CSV PERMIT CENTER
Updated 1-11-Lx Page i of 1.
http://www.spoltenevalley.or+g/Ries 2�4 8/ A7 teraof dol
Received Time Mar, 11. 2015 11 :45AM No. 1586