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2016, 02-22 Permit App: BLD-2016-0502 Re-Roof Project - ( -I - Of -OSpa, Community Development Department 01 — Permit Center ( to se on y Spokane � - 11703 East Sprague Avenue, Suite B-3 _ p 1 Spokane Valley, WA 99206 PERMIT NUMafR 1 ;r% Valley Tel: (509) 688-0036 �' Fax: (509) 688-0037 PERMIT FEE: oermitcenter©spokanevallev.orq c SUB , i - REV # REROOF CONSTRUCTION PERMIT ArP-Ru ION' ;__ COMMERCIAL / ;gRESIDENTIAL SITE ADDRESS: /50/ �U} t iLi eo gtcuiC-2-"?- ��{ 1( ( L.)- A 97 Z( ?ASSESSORS PARCEL NO.: 'LEGAL DESTION: J BUILDING OWNER NAME: NAME: ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTACT NAME: PHONE: FAX: CELL: CONTRACTOR NAME: /<'e.i.i,,-1 PA- {--cr s<.D_A s�rv;--c., MAILING ADDRESS: '6 C ..r— [/✓7 c (.. L„,-) - CITY: ^ 7�-- t t l 3 STATE: /\ ZIP: e3 C J Q PHONE: Y(' FAX: CELL: 2v.w Z tS_ 1 ( (..>I CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: )4/Tear Off 0 Overlay TOTAL COST OF PROJECT: $ 3/ OO 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 con uction is to be done in full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at Hfweity of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is not a permit or approval for any viol tion of federal,,, e.ef local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted-and subsequently approved bef"_e___,pis JJ application can be processed. Signature CLiy (--_• - � �� Date: �� 7 2--/ �7 _.,!-.- Updated Updated 1-11-11 Page 1 of 1 C:\Users\rdaniel\Downloads\Reroof.doc