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2011, 08-15 Permit App: 11002432 Reroof40Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter©spokanevalley.org REROOF CONSTRUCTION PERMIT APPLICATION ❑ COMMERCIAL SITE ADDRESS: 1 C) 1) . To, // ASSESSORS PARCEL NO.: RESIDENTIAL Tru_ LEGAL DESCRIPTION: BUILDING OWNER NAME: AA N NAME: S <, i ADDRESS: l ) ) 7 L. . .1-‘,1( C CITY: ..5 y^GJC.zvte Vt. I ( Z �/ PHONE: j Lp 1 STATE: ,' r� ZIP: 61-i 2 I FAX: CELL: CONTACT NAME: PHONE: 5JC G tiq Z FAX: CELL: CONTRACTOR NAME: ;VES 4.J ?-1e-i jkf (Qoe-cik MAILING ADDRESS: i C1 o g N S-1 )-kL CITY:/o_<, ) Lit S PHONE: CONTRACTOR LICENSE No.: STATE: Y J FAX: CELL: ZIp: j 2c 5 5e7 EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE`SCOPE OF WORK IN DETAIL AND INDICATE USE: -Le. f ;; 7 t rC r t -- 1 11.y J! s r ( 6 vvr e v;i r e‘-‘ DI Tear Off El Overlay TOTAL COST OF PROSECT: $ C1 0 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: 3-11- 11 O 11...!..4...1 1 11 11