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2015, 08-14 Permit App: BLD-2015-1943 Re-Roof %'... Community Development Department �� 3 • Permit Center Pro of Use orny ScIIYOE `" 11703 East Sprague Avenue, Suite B-3 l E C E 1 V E D pokane Spokane Valley, WA 99206 PERMIT NUMBER: Tel: (509) 688-0036 .000Valley Fax: (509) 688-0037 PERMIT FEE: AUG 4 7n15 permitcenter@spoka nevallev.orq CSV PERMIT CENTER REROOF CONSTRUCTION PERMIT APPLICATION. SUB -q__ i REV. fd I El COMMERCIAL 111 RESIDENTIAL - SITE ADDRESS: ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: , 1 t,_,,a, y Gr ADDRESS: / 5 C- ( _. ,()0/-,‘,-;1 CITY: , l PQ 57?( v //'/ ` STATE: 1.41,, ZIP: T 7 /4 PHONE: FAX: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: l 7 3 „/' )1 C17 / er74 -`� . CITY: 5 7 A l! / vvv � STATE: /9 Q ZIP:. / P,7,©5 PHONE:L5Q/ ) gb.Y-�E' J2.9 FAX: CELL: . CONTRACTOR LICENSE No.:�-(Q®e-Z fbJ) EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OFVILORK� D DETA NjIV�I�AT U Tear Off E Overlay TOTAL COST OF PROJECT: $ 5 y 500 DISCLAIMER / The permitted verifies,acknowledges 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 transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to itted and subsequently approved before this application can be processed. Signature /7 -7-7 Date: Updated 1-11-11 Page 1 of 1 http://www.spokaneva I ley.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc