2011, 09-29 Permit App: 11003086 Tear Off, Reroof, Siding 09/29/2011 17:59 FAX 10003/0003
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Community Development Department
Permit Center —tStaff Use Only)
11703 East Sprague Avenue,Suite 8-3
; PO I ey Spokane Valley,WA 99206 PERMIT NUMBER: II ' 3 OlJlo
y• Tel:Fax:((S09)509) 688688-0-0036037
4- NTal
PERMIT FEE: In 17 5Xr
Ie permitcenter@sookanevaliev.orq•
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REROOF CONSTRUCTION.PERMIT APPLICATION Obl 4 4
COMMERCIAL 0 RESIDENTIAL
SITE ADDRESS: IInnn - Vatl�C({i `' �✓t
ASSESSORS PARCEL NO.:Z/93q./42.04 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: GLR,Jv,S KiSSi I�
ADDRESS: 1lJ /Z0 E VA,~7z0 E i Lupo; AYL •
t /�
CITY: V 1 STATE: W:'!V ZIP: 33 7
PHONE:
5-o-q - &10 FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS:11420 E. MONTGOMERY
CITY:SPOKANE STATE:WA ZIP:99206
PHONE:(509)928-4686 FAX:(509)252-2996. CELL:NIA
CONTRACTOR LICENSE No.:MCVAYBC346ME EXPIRES:N/A CITY BUSINESS LICENSE
NO.:N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: •
Toff )RECD' 105Z_ I `i ti'11v;L Si 0i IV��
)(Tear Off 11 Overlay
TOTAL COST OF PROJECT: $ 301z_
DISCLAIMER
The permitted verifles,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 submitte nd subsequently approved before this application can be processed. /
SignatureqY) Date: `3/Zoi1 i
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Received Time IS e p. 29. w2@ 1 1 a 5:47 PMn'J 0. 4719 ge/124/938/210/948/1496/R roof Permit_1-11-11.doc