2013, 10-29 Permit App: BLD-2013-2237 Tear Off Roofing t 291311:24a
i Alpine Construction 509-448-5504 p.1
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PERMIT NUMBER:
Permit Center
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" e 11703 E Sprague Ave,Suite 13-3 v Spokane Valley,WA 99206 PERMIT Fhb:
4II0 Valley (509)688-0036 FAX:(509)688-0037 •
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pernutcenter a spokanevalley.9
ty Development
Community COPY
Reroof Construction .• • . • f l Commercial
Permit Application . 1RResidential
SITE ADDRESS: 1, Sr0'4 S v id I v t; t2 S t ii
ASSESSORS PARCEL NO:
Building Owner:' ..Contractor:.
Name.CR lW i�t►.0 ( S A et A H L�e[.c u Name: A L P J N� co„...)s r GT,...,
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Address: s/kms., is Address:V y f 9 oc e_c.,a,jz,O tit 2.
City: State: Zip: City: Spa yr..A su a� State: kol A. Zg': 2Z'
Phone:
Fax: : Phone;, 44 cte.)• ci ei Fax: ci4 q cu " JPO 4
Co tractor Lic No: , , Exp Date:
/4.(.Pea) C.-s._ .0,,,i3 a.m za
Contact PersonCityBusiness Lic.No: . -
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Name: 111.A (Le ' S, Ta-AP t°€
Phone: OAS• e Oct q
Describe the scope of work in detail: Tear off 111Overlay
.
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Cost of project: $ v 9 S-s
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The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
Ownership of r tilting development rig granted by any issued permit inure to the property owner.
Signature Date !6/21 li 3
Method of Payment:
O Cash ❑ Check 0 Mastercard 4 VISA.
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Bankcard#: Expires: p �' #
- REDACTED --
R EIVED
Authorized Signature:
UGI 1 3 2013 ?(C.----
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010 er 28,2007 CSV PERMIT CENTER
and the original document destroyed pursuant to SOS DAN 4.1
G52014-030. comm1\PCF1R-.. iii ane itApp.d c REV. #