2011, 09-07 Permit App: 11002777 Tear Off, Reroof 09/07/2011 19:13 FAX 440002/0002
I
* Community Development Department
Permit Center (Staff Use Only)
c171loP 11703 East Sprague Avenue,Suite B-3
k�n+e Spokane Valley,WA 99206PERMIT Nulls : (— 7-17-7
Tel: (509) 688-0036 •
I "fG 7�
l •ey* Fax: 509)688-0037 PERMIT FEE: \l 4-- 1
permitcenterfla st0okanevallev.om
REROOF CONSTRUCTION PERMIT APPLICATION
H. COMMERCIAL RESIDENTIAL
SITE ADDRESS: 5 f S VEZ C,Ltd_
ASSESSORS PARCEL NO.:4S22Z. lZ01. LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: .) ,-..12.:``(; l 'SNVmac .
l .r')1tV•)
ADDRESS:( 5!1 5 i C V.-LC�^'� ��Gy `Li i
CITY: 5P ) J )Q. v, uCi{ STATE: \� ZIP: 1 f
PHONE: "1-0114-`J LP)`I 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:NIIA
CONTRACTOR LICENSE No.:MCVAYBC346ME EXPIRES:N/A CITY BUSINESS LICENSE
No.:N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
2.6sa -1-w& pt'1' 20oF
13114 Tear Off H Overlay
TOTAL COST OF PROJECT: $ 5322,
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) Alt 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.
Signature -�(^ , L1 '9CDate: q 17 J i
I I,,,,.+a,, 1,11-11 Page 1 of 1
Received Time iS e.p. 7. w21)1 la 7: Q 1 PM N 0. 4349ige/124/938/210/948/1496/Rieroof Permit 1-11-11.doc