HomeMy WebLinkAbout2011, 05-09 Permit App: 11001226 ReroofSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter@sookanevallev.orcI
(Staff Use Only)
PERMIT NUMBER: /
PERMIT FEE: 73. 7a
REROOF CONSTRUCTION PERMIT APPLICATION
0 COMMERCIAL RESIDENTIAL
SITE ADDRESS: 5018 e.'N kyvJc - Gu .
ASSESSORS PARCEL NO.: LEGAL
DESCRIPTION: `5i \e'. ,��1 1 l\e,^ l�S
BUILDING OWNER NAME: �f� Thr IS-I(1Q V\IGvel
\,\)(ESTI i'NG l d
NAME:
ADDRESS: ,�,ga t g e L>� l le• L,�ck r_..v�
CITY: 5f �( ck}-) STATE: l D a ZIP: cigD-1 Q,
PHONE 0 -33' 9 LI —if-) FAX: CELL:
CONTACT NAME: San()
PHONE:
FAX: CELL:
CONTRACTOR NAME: \-\6rneQ D(\ ( ewNsi61- Y 0..11 Ick 4
MAILING ADDRESS:
CITY:
STATE: ZIP:.
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
gi,Tear Off ❑ Overlay
TOTAL COST OF PROJECT: $12.&'c9
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 perm'ssion to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Pev- .pm: -.e. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley p rmit\is of a per t or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information •.' req ed to be subitted and subse. y -.: .ved before this application can be processed.
Signat
Date: S-9-11
Updated 1-11-11 Page 1 of 1
http://www.spoka neva Iley.org/fi lestorage/ 124/938/210/948/ 1496/Reroof_Permit_1-11-11.doc