2014, 10-06 Permit App: BLD-2014-2411 Tear Off, Reroof i Community Development Department P )
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SCITY
Permit Center (Stet em' E D
' y�okane 11703 East Sprague Avenue, Suite B-3
j Spokane Valley,WA 99206 PERMIT NUMBER:
1
\Talley® Tel: (509) 688-0036 OCT 0 6 2014
Fax: (509) 688-0037 PERMIT FEE:
oermitcenter(asookanevallev.orq
CSV PERMIT CENTE:M
REROOF CONSTRUCTION PERMIT APeI c ►TIloN REV.
ij COMMERCIAL ffl RESIDENTIAL - •
SITE ADDRESS: •
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: •
BUILDING OWNER NAME: C r CQ ,_pc)1,) .
NAME: \
ADDRESS: C I ti V( j.S1 Q__
CITY: S- X Q,( STATE: Lolior ZIP: °Q 1 ff
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PHONE: FAX: CELL: •
CONTACT NAME: • •
PHONE: FAX: f CELL:
CONTRACTOR NAME: M lIl0 , Ccirc- Cnndrfc l
•
• MAILING ADDRESS: • ,tel Vq E C 'se Y-, • 11� - 9 7
CITY: STATE: L c� ZIP:. l �C�
PHONE: CACI -` -Eb FAX: Q CELL: CJP9')g. Lk - l 2-:SG
CONTRACTOR LICENSE Na.: M t V:Er_ *IDVX L EXPIRES: p� (ts CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: .
•
Fig: Off r� i Overlay
TOTAL COST OF PROJECT: $ 63-61. / 0
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 appro,. 3v
ed before this application can be processed.
Signature � � .�� ( _- _-- Date: / '/ //q
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc