2014, 05-05 Permit App: BLD-2014-0960 Reroof*Mane
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Valley®
Community Development Department
Permit Center
1.1703 East Sprague Aven e,`S tw a B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036- 72.0 —52 yo
Fax: (509) 688-0037
permItcenterasookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE'
REROOF CONSTRUCTION PERMIT APPLICATION
El COMMERCIAL
SITE ADDRESS: //3/ er
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ASSESSORS PARCEL NO.:
LEGAL DES RIPT[
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RECEIVED
BUILDING OWNER NAME:
NAME: 6/i-/2„. I.JJS
MAY 0 5 2014
ADDRESS: Art7 3 a) 8,EG4�
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CITY: LEL) L --/
STATE: 4-.)47-
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PHONE: �'7CJ7 i L Io (C3t
CONTACT NAME: 54frhet__
PHONE:
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FAX:
CELL:
CONTRACTOR NAME:
MAILING ADDRESS:
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STATE: .ZIP:.
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
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TOTAL COST OF PROJECT: $ 91000 (
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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 thls transaction. 4) All.constructlon Is to be done In full compliance with the Clty of
Spokane Valley Development code.. Referenced codes are available for review at the Clty 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 quIred to be subml d and subsequently approved before this application can be processed.
Signature Date: 5 /' 7/4)
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Updated 1-11-11 • Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc