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2016, 04-05 Permit App: BLD-2016-1117 Re-Roof - 6 -4/it Community Development Department Permit Center (Staff Use Only) soiic 11703 East Sprague Avenue, Suite B-3 1 L 1,' Spokane Valley, WA 99206 PERMIT NUMBER: ' 7Y2 ValleY Tel: (509) 688-003640 ® Fax: (509) 688-0037 PERMIT FEE: itiI"� IJ 5 2016 permitcenter©sooka nevalley.orq REROOF CONSTRUCTION PERMIT APPLICATION LI COMMERCIAL RI RESIDENTIAL SITE ADDRESS: /04o 1 iec( 4 vevw-2-- CDt4-6-(N.O__1/64.6(ey kJ pet- fq zo4 ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: 1 BUILDING OWNER NAME: 11`(^� �S& - e (,e4 , .vie. NAME: Cipp-A t re-2/„S,(2, Rei v 42y1---(Z. vV-ems ADDRESS: ?-1), g b-/- 1 1{-L{�y -2- IJ CITY: S‘?n(L V o,(,(Uy STATE: LN.� ZIP: PHONE: 110 --`7 co S ` FAX: CELL: CONTACT NAME: GP)r PHONE: Z Z-o -2(P S FAX: CELL: Z 2 —? S 5- CONTRACTOR NAME: Pet, Au 1v.4-�o,n, MAILING ADDRESS: l 0 CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Tear Off Zl -- LI Overlay Z i Q TOTAL COST OF PROJECT: $ �c(9b0 ��-1 ., Z Z Op 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 e submitted and subsequently approved before this application can be processed. Signature4740- 4Date: `E /s1 vp Updated 1-11-11 Page 1 of 1 C:\Users\rdaniel\Downloads\Reroof.doc