2015, 05-04 Permit App: BLD-2015-1012 Reroof ▪ :y 04 15 12:44p Alpine Construction 509-448-5504 p.1 /b /
■• Sep. 27. 2Q13 1U,44AM� d k- ---i---1,,, r. t _ - -
■ ■ r
INNPrrject -4,-
i!a . Community Development De pattenent
Permit Center otaffiA6 enb1 u E
11703 East Sprague Avenue,Suite 8-3 i
Spokane Valley,WA 99205 ERMiIT HUMMER;MAT' Q �'J
$iNkalle
Tel:(509)668-0036
4010VA
ky; Fax: 68&0037 win FEE:
permitcentere sookaeeVaitev.org I
i t,:.5 ,a .r CENITER
RMIT
REROOF CONSTRUCTION PE Alkkku N ,
L'_' COMMERCIAL .jilirRESIDENTIAL .
SITE ADDRESS: 1 L 0 2 S SI—A^-1 t. LAV
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: I -
BUILDING OWNER NAME:
NAME! �� t E l M A4 I Hi V G 1--k___ 12 t=N<-L Y_ t Q I IA.,A
�
ADDRESS: I to Z S S i A /Li LEL-1
CITE Sucre: I TIP:
PHONE: FAX! CELL:
CONTACT NAME: D A tZ t 0 S tLA p Pe
MIME: FAX: CELL:
CONTRACTOR NAME: A LP r 1V(E c O"- ST
< 0N
1 i
•
MAILING ADDRESS: LI tI 9 G ( C.E: Ni N A-4 2 C sO r2.
Carr: S P o 1/-a N G STATE: \4,0.-1 A ; zip: ci 9 2-z 3
PHONE: LILL a • S 0 4 9 _ Fax: t-1 (-1 (3- S s v LiCEt 1
CONTRACTOR uce,sse No.:ALP t N C-4c Ci 9 SM4exPreeS:10/31 //3 CITY Business LICENSE NO.: r/ 2_00 3 311 13 V
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
I
L '3'3 —
i
IN Tear Off Overlay
TOTAL COST OF PROJECT: $ 39 c- C--
DISCLAIMER
The permitted redfres,acknowledges and agrees by their signature that 1)if this permit Is ror construction or on a dweirmg,the d.veirmg Is/will
be served by potable water, x)Ownership of this City or Spokane valley permit Inure to the property owner.3) The signatory Is the propeity
Owner or has permission to represent the property owner in this transaction. 4) All construction Is to be done in fu!t cflmpplance with the City of
Spokane Vahey Development code_ Reverenced codes are available for reYiiew at ere City of Spokane:Valley Pernsit Cenber. 5) The City of .
Spokane Valley It Is not a permit or approval Por a violation of federal,stats'.or local laws,codes!or ordinances. 6) Plans or additional
Informaten may be ulre4 to be submitted and sub try approved before thFI
application can be to:messed.
Signature _ Date: S /dlit 4—
I
i
Updated 1-12-fl
Page 1.of1
http://www.spokanevailey.ore/filestorage/124/93C;:10/949/149&/2743/ Rercof doc
1
Received Time May. 4. 2015 12: 52PM No. 1827