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2016, 03-08 Permit App: BLD-2016-0714 Re-Roof
S e p. .12, ,20 13 10:46AM I o. � t Project # gu9-.204,- 07/Lf RECEIVED Community Development Department u = ` e f\, Permit Center (Staff Use Only) e 11703 East Sprague Avenue,Sirlte 13-3 Spokane Valley, WA 99206 PERMIT NUMl3GR: Tel: (509)6E18-0036 \Taller PDX: (509)689-0037 PERMIT FEE: •rn itenn tercamzaaflevagYAr-q REROOF CONSTRUCTION ' :if MIT APPLICATION T al GOMI�IERCIAL 2 L _ •tom! RESIDENTYAL LL_ T� � ASSESSORS PARCEL NO.: _ L G• DESC-•IPTION: BUILDING OWNER N •ME: ,1alf SLI ,,,,`— I Crr .: • Mt /U t' • 'NW' STATEi , Al ZIP: • �d) / P1101s1E: / g C7 aa //g FA CELL: CONTACT NAME; 6•H Nt� FAx CELL. CONTRACTOR NAME: 0 - i L. _�A , - fMATLIMd,AODRESSr I 0 I .4 4 4�_.'.Ar - J, — CTTYA..,.),ANA _0 `i / / OP - ATE: W(9 a (/ CELL: voNTRAGTOR LICENSE No..:, „Al ,V/ J' Tj IZ' ij R '� / ,,I: : NESS LICENSE NO.: / 5).21• 1YES•bRIIE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: -- . ' ' .r:ort e 47© =; Overlay *.btf .1'CDST.OF PROJECT: $ Dtsci,ailiER The permitted verifies,acknowledges and agrees by their,signature that: 1)If this permit Is For construction Dr on a dwelling,the dwelling Is/wiil tre:servetl'by potable water, 2)Ownership of this City of Spokane Valloy permit Inure to the property owner. 3) The signatory is the property owner or pas perenisston to represent the property owner In thio transaction, 4) All Constructioh Is to be done in Full compliance with the City of Sgafiane„Valley Development code, Refenenced codes are available for review at the City eF Spokane Valley Permit Center. S) The City of pekaritt'Vartey permit Is nota permit or approval(or Any violation . tednral, st:to or local laws,codes or ordinances. 6) Plans or additional information may be r.;) :red to be subml,ed and sJbsequontly .ppr ed before, I;a.pllcetlon can be processed. 9i .i'aCure �.,., ' ... 1. : 4 -- 1a L.AIz.. • • ate: �-5 O / . Method'of payment: 0 Cash ill❑ Check ❑ Vlsa 0 Masterca d onk erd:it: EXP: VINE: AUCh•tned'Signature: gffeetibe October 213, 2007 Patio 1 of I 1,._P:\Coiiimunity Development\02 Adm)nistrntion\03 Forms - Official Versions\PermIt Cenror\Reroof Construction Permit App 10-20.07,doc Received Time Mar. 8. 2016 8:48AM No. 3031