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2016, 03-25 Permit App: BLD-2016-0966 Re-Roof Community Development Department Permit Center (Sta€fIy�/ SCJTYOr11703 East Sprague Avenue, Suite B-3 C r V E poliane Spokane Valley, WA 99206 PERMIT NUMBER: �) Tel: (509) 688-0036 2 5 2111 i 40 Valley. Fax: (509) 688-0037 PERMIT FEE: permitcenter@sookanevalley.orq --'EF-WIT CENTER REROOF CONSTRUCTION PERMIT APpAACArTION RFV # ❑ COMMERCIAL .©-RESIDENTIAL _ SITE ADDRESS: (Z-4- l 9 6 S'f ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER/ NAME: NAME: ( /J`�' - �`1�� 7 ADDRESS: :PO ,!)J J�j' CITY: f�jlC(i�CL�I,, STATE: CAJ c ZIP: 1, `lam PHONE: '..E2--- Jci'{Z FAX: CELL: CONTACT NAME: C�tc PHONE: c.-t3S - C( FAX: CELL: CONTRACTOR NAME: ��s j '1') � C --4-0,-.3C MAILING ADDRESS: -PC) c-&__)-74. - (— CITY: �'( ,,co . STATE: `;1/h ZIP: ��( 2( PHONE: L(�_"�(W FAX: CELL: CONTRACTOR LICENSE NO.: \�eee2(ccrc( EXPIRES: q (- ô/tc CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: --1.-C-7/4112- 0-' f Ze.7-0 06e_ Off ❑ Overlay )kLrar TOTAL COST OF PROJECT: $ DISCLAIMER The permitted verifies,acknowledges and agree y their sig ture that: 1) if this permit is for construction or on a dwelling,the dwelling is/will be served by potable water. 2)Ownership orthis5i .f S okane Valley permit inure to the property owner. 3) The signatory Is the property owner or has permission to represent the arroparty��- i this transaction. 4) All construction is to be done In full compliance with the City of Spokane Valley Development code. Rfe;eie• pbd-, are available for review at the City of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is not a per 9rappr xal f. any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to b- did uafniu ,and bsequently approved before this application can be processed. / Signature 2 Date: 5 1 Z-5 /i • k, Updated 1-11-11 Page 1 of 1 C:\Users\rdaniel\Downloads\Reroof.doc