2011, 08-03 Permit App: 11002317 ReroofJAN -09-2005 SUN 04:13 PM JOE MCKERVEY 11
� AJ' 3. 2011 10:3IiAM S ckxne Vd11ey Fernl! C".ntel
�lh Commufiety Development Department
Permit Center
Spoiinecit�� uite B-3
Spokane Valley, WA 99206
11703 East Sprague Avenue, S
Va11ey Tel: (509) 688-0036
a Fax: (509) 696-0037
4000
permltcentere sookanevalley.orq
FAX NU. bUy 455 yiUa
N:. 3722 1
r. milli
(Staff Use Only)
PERMIT NUMB R: 11 —2..)\-1
PERMIT FEE: 13
REROOF CONSTRUCTION PERMIT APPLICATION
T COMMERCIAL �~ 'ORL'SIDENTI L
SITE ADDRESS: 5 34 /► p>G�/J7 /pQ (�U—% `�
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADPRSBSI
PHONE 1
0
10I4 J STATE: Ci0a,„/ ZIP:
/z. C•S FAX: 4/,r -- O ? CELL:
CONTACT NAME: _S'
PHONE `--8 76 0 IPAX:
CONTRACTOR NAME:
MAILING ADDRESS:
CELL:
CITvf
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES! CITY BUSINESS LICENSE NO,:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Near Off
TOTAL COST OF PROJECT: $ Q(0400
DISCIAUMEF;
The permitted verifies, acknowtedyaa 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 uansactlon. 4) Ail'uonatructlon is to be dune In full compliance with the City of
Spokane volley Development code. Referenced Codex bre available For review at the City 0 SPokene valley Permit Center. 5) The City of
Spokane Valley permit Is not a permit or approval for any violation 0 federal, state or local laws, codes or ordinances. 6) Plans or addltlonal
Information may be re _ _ • mltted and subsequently approved before thls application can be pracesseo.
Overlay
2.9nature Date:
Updated 1-11-11 Page 1 of 1
http://www.SpokanevallEy.org/fllestorage/124/93t3/21t)/94B/1496/Rel'oor Permlt„1-11-11.doc
Received Time Aug. 3. 2011 10:49AM No.3725