2016, 03-02 Permit App: BLD-2016-0645 Re-Roof I,, z... ..,vIJ Iu :L+orilvi o. 48
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Community Development Department -
permit Center (Staff se a'nay
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Stiokte\"' 11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 PERMIT NUMBER:
. Tel: (S09)6e8-0036 ER
'. ., ‘,..10'Vall Pak: (509)688-0037 PERMIT FEB: •
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ROOF CONSTRUCTION P ALT IT APPLICATION
COMMERCIAL 0'11 •ESIDENTIAL
• • SI-TE-,ADORESS.
ASSESSORS PARCEL NO.: LEGAL 'ESCRI'TION: ______
BUILT LNG OWNER NAME; / .
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Q�DRES'S: a _
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PHONE: CA; y—I 7 —
FA a
CELL:
CONTACT NAME; '
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Fax: CELL;
•EaN:TJtACTOR NAME: ety)
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MAIIING,ADDRESS: j / _ y/ / �
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AiaNTr�'ACTGR`LICENSE NO.e
���.r.L / ii :•5[NESS LICF,NSE NO. 0/ 714d/ )
f5F5.' 7 I•E THE SCOP ','F OR •IN DET ,,, AND INDIC•TE USE:
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t e® Ov r .y
"I'4, .C.�35T OF PROJECT: $ o / , 0t.-
RYSCI,„aM E R
The permitted verifies,acknowiedpes and agrees by their signature that: 1)if this permit Is for Construction or on a dwelling, the dwelling Is/will
lpotable Owntlof this nftstransaction.e ) Ctotb )T hertOwner olas emssion Ea repreznthe property owerinh4tAll onstro ucinsoe done In fcopliance with the of
Spokane Valley Development code. Referenced codes are available for review et the Clty of Spoi ane Valley Permit Center. $) The City'of
Spokane'Valley permit is net a permit or approval for any violation of Federal, state or local laws,codes or ordinance;. 6) Plans or additional
information maybe re.Bred to be submitted gild cubsequantly appre -d oofgre thf application can be processed,
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MC hoti `OF payment: ❑ Cash ii
0 Check 0 Visa
Mastercard
%rikcar•d #:
EXP: VINO':
At.rthbl•'lted Slonature:
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•,.:7P:\Conimunity Development\02 Administration\03 Forms-Official Versions\permit Centor\RerooF Construction PermitApp
l0.28.07.doc
Received Time Mar, 2. 2016 11 : 04AM No, 3007