2015, 05-27 Permit App: BLD-2015-1203 Reroof y 271510:21a Alpine Construction '09-44:- a 4
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Sap. 27. 2013 10:44AR Pro e ;�
Community Development Department ` `
p Penult Center (Stuff Use Only11703 East Sprague Avenue,Suite B-3Siane
Spokane Valley,WA 99206 P RNIT NUMBER; 4
ValeY.
TeL (509)688-0036 ` '
4.00
Fax: (509)68&0037 P RlAIT FEE'
permitcenterdekerne iallev.orq C n = ► t r i
SUB FiF`r'. :
REROOF CONSTRUCTION PE MIT AP tit --.----.___� ` ----�
EN COMMERCIAL IDENTIAL
SITE ADDRESS: "4:=1 S S i mac.
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION;
BUILDING OWNER NAME:
NAME: DA'JE KN AK
ADDRESS: S A+.+..E
Orr STATE: ZIP:
PNONE: FAX: CELL:
CONTACT NAME: D A z.t i s fL.e. P P
PHONE: FAX: CELL:
CONTRACTOR NAME: /4 < PINE C N S T 2 < T-i o tv
MAILING ADDRESS; L}L' )9 �, C ( N M A-C (2._E Q (t
C:m 5 ( d Y A r_ STATE: , A itv: 9.9 Z Z 3
PHONE: (-1C- 8 • `voQ9 FAx: t-1 S c) caw
caraRAc roe ucexsx No.:A i-P c N C,ic o 9 8 .►1e>a+zut=s:/o/34/3 d Y BUSINESS LICENSE NO.: r 2.00 3 311 13 al
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
IN Tear Off
_
TOTAL COST OF PROJECT: $ '1 S
DISCLAIMt=R
Ina permitted mines,aclalowledges and agrees by their signature that: I)if this permit Is For con5trvctson or an a dwelang,the awaiting isJwIt
be served by potable wager. 2)Ownership of this Cey of Spokane Valley permit inure to the property owner.3) The signatory Is the property
owner or has permission to rapiEsent the property earner in this transaction, 4) AN construction is to be done in rug compliance with the City or
Spokane Valley Crevritopment code. Rerereeced codes are available for review at the City or Spokane Valley Permit Cellar_ 5) The City of
Spokane Valley perm Is not a permit or app al for any violation of federal.state or beat laws,codes or ordinances. 5) Plans or additional
Information may be r qulred to be submitted and su vently approved before this application can be processed.
Signatu r y Date: SI Z 7
updated 141-11 Page 1 of 1
htta:7/w►caw.spokanevalley.org/filesborage/124/938/210/949/1196/2743/Reroof_doc
Received Time May. 27. 2015 10: 32AM No. 1913