2016, 03-17 Permit App: BLD-2016-0855 Re-Roof Project #.ba)'20/‘ -0355
Community Development Department .
Permit Center (Staff Use Only)
SCITY OF 11703 East Sprague Avenue, Suite B-3
okane Spokane Valley, WA 99206 ?`}t
Tel: (509) 688-0036 PERMIT NUMBER:
Valley. Fax: (509) 688-0037
permitcenter@spokanev_ailey.org
REROOF CONSTRUCTION PERMIT APPLICATIOIN
❑ COMMERCIAL 0 RESIDENTIAL
SITE ADDRESS:11521 E MAIN AVE, SPOKANE VALLEY WA 99206
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: VALENTINA TSIRIBKO
NAME:VALENTINA TSIRIBKO
ADDRESS:11521 E MAIN AVE
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHONE:509 720 6869 FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:PAUL'S CONSTRUCTION SERVICES, INC
MAILING ADDREss:11525 S GARDNER RD
CITY:CHENEY STATE:WA ZIP:99004
PHONE:509 218 7562 FAX: CELL:
CONTRACTOR LICENSE NO.:PAULSCOS904CQ EXPIRES:02/2017 CITY BUSINESS
LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
TEAR OFF AND REMOVE 2 LAYERS OF OLD SHINGLES, AND INSTALL NEW 30 YEARS WARRANTY COMPOSITION ROOFING MATERIAL.
D Tear Off ❑ Overlay
TOTAL COST OF PROJECT: $6000
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 be submitted and subsequently approved before this application can be processed.
Signature R ) v1 ,t��/ Date: 03 ill / 20f6
Updated 1-11-11 Page 1 of 1
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