2011, 07-14 Permit App: 11002100 Tear Off, Reroof 07/14/2011 11:07 FAX 100002/0002
Community Development Department
Permit Center
CITY 11703 East Sprague Avenue,Suite B-3
(Staff Use Only)(�
p0 ne Spokane Valley,WA 99206 PERMIT NUMBE : 1 �-21`✓0
Valle Tel:3 (`09) 688-0036 'Fax: 509) 688-0037 PERMIT FEE:
perm itcenter@spokaneva I ley.orq
REROOF CONSTRUCTION PERMIT APPLICATION
gg COMMERCIAL .fit RESIDENTIAL
SITE ADDRESS: `I�{ 5 \(G��J..Gk(k)
ASSESSORS PARCEL NO.:((9,2.2,)74t9 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: mwou N ,vr ,
�Av
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ADDRESS: i-fi 5 V G,C�LL o ' _q
CITY: SpoK> C �fp LI G`' STATE: W/-1 ZIP: 992JL
PHONE: 5 -R Za - q GY Lp FAX: CELL:
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS:11420 E. MONTGOMERY
Cmr:SPOKANE STATE:WA ZIP:99:206
PHONE:(509)928-4686 FAX:(509)252-2996 CELL:I4IA
CONTRACTOR LICENSE No.:MCVAYBC346ME EXPIRES:N/A CITY BUSINESS LICENSE
NO.:N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
I.IOmE 0 uu�;C—� C:Aa v\lc, OFF"
1'`i' eNtr YS Ti 9\ -9\03i7 3U 5Q
154 Tear Off Overlay
TOTAL COST OF PROJECT: $ L 80,5
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.
r
Signature p4-v) 4 4 4 Date: y /<,) )
Received Time Jul. 14. 2011 .10:,56AM N9 3438 Page1of1
r o y,;3,4.. ..age/124/938/210/948/1496/Reroof Permit_1-11-11.doc