2013, 11-01 Permit App: BLD-2013-2277 Tear Off, Reroof NOV-01-2013 14:34 From:PERRENOUD ROOFING 4837106 To:6880037 P.2/2 7 7
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Community Development Department �•��`"n" °�n ��
44'•*.,amu Permit Center , (Staff Use Only)
Spokane `` ` ;
11703 East Sprague Avenue,Suite 6-3
Spokane Valley,WA 99206 PERMIT NUMBER:
Vail
Tel: (509) 688-0036 Sal Fax: (509) 688--0( £4 40000,
PERMIT FEC:
oermitcentereSookangvallev.orq
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL
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RESIDENTIAL
SITE ADDRESS: - 0 _ 'y
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: ' „cs '-'1A 4
NAME: _ e . * ■ .17♦
ADDRESS: 42(Q o91 ..._)-k - v t s-i- 1
CITY: S `r. V kt_ `1 L STATE: (pJ Pe 'ilk T i IYX':0 9 2 t
PHONE: _ _ ` ! FAX: I ,4- "
PFR CEP4TEIl
CONTACT NAME: • H.I.E4 r
REV, #
PHONE: FAX: - _ _ .._: .-..
CONTRACTOR NAME: .
- MAILING ADDRESS_:/ 9 ;43 ( ( 4 ,
CITY: eL�–,Q6�./' -_..— • STATE:
/�1....4.4-- YI.., ;11.___1.4).2e1..7_
PHONE: `�- 110 V _.... FAX /I D6-. _ CE
CONTRACTOR LICENSE NO.: ..RR a.. lG"( ?A EXPIRES: CITY BUSINE•3 LICENSE NO.: -
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: •
7-7.A oF!r To _ _1 20 - - ---
Va Tear Off k: Overlay
TOTAL COST OF PRO3ECT: $ 2.,(03S. OLD
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)If this permit is for construction or on a dwelling,um 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 rhe property
owner or hes permission to represent the property owner in this transaction. 4) All construction is to he done In full compliance with the City of
Spokane Valley Development code. Rgf iced codes are available for review at the City of Spokane Halley Permit Center. 5). The City of
Spokane Valley permit is not a illt or oproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be requiire ,td'be sui ' ;i'd and subsequently approved before this application can be prn;Posed.
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Signature / Date: /1// /-3
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Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.4rg/filestoragc/I24/'936/210/946/1496/Reroof Permit_1-11-11.doc