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2016, 03-23 Permit App: BLD-2016-0932 Re-Roof Community Development Department Permit Center (Staff Use Only) Spokane 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 PERMIT NUMBER: TL el Tel: (509) 688-0036 Fax: (509) 688-0037 PERMIT FEE: permitcenter©spokaneva I lev.orq REROOF CONSTRUCTION PERMIT APPLICATIONS 6-d3� COMMERCIAL ErRESIDENTIAL SITE ADDRESS: c� ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: MAR L 3 2016 BUILDING OWNER NAME: Kit,- Y / 1 SG{/l/D�P�S NAME: / a7 7yyjq Jah/,")�5 ;UB # I ADDRESS: /Gl0/ t XeRZ 04. CITY: ,spQ/a STATE: �i ZIP: PHONE: FAX: CELL: 16S' ¶0 9_,5 CONTACT NAME: J,pQI am i,,/eis 6 PHONE: S(7 '_79-c7c'( FAX: CELL: CONTRACTOR NAME: MAILING ADDRESS: CITY: 2c26(& //1 f 14/9STATE: ZIP: PHONE: (f/ — y - FAX: CELL: Sp9 70, CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Teat' off 6,el 1p /uy h Rfvf aki 70- rlpri7Gt .Lc-e d- ��fl ni.d 3a co(7s/f("' G.1;74ukr/ S4•7/-c Er Tear Off [1 Overlay TOTAL COST OF PROJECT: $ ,j yo0. 00 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 Date: .(ZZ/l,,1 Updated 1-11-11 Page 1 of 1 C:\Users\rda n iel\Downloads\Reroof.doc