2013, 09-10 Permit App: BLD-2013-1817 Tear Off, Reroof Permit Center pggTNT3MSER
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11703E Sprague Ave,Suite 13-3
'�'#'� � Spokane Valley,WA 9n06FEE: I�� . Cj
� r=VMl (509)688-993ErFAX:(509)688-0037 . 1 co - vsmn-
www.spokenevalley.org
Community Development cip,i-,ob L,1
Reroof Construction 0 Commercial
Permit Application 0 Residential
SITE ADDRESS: 31 . I`1 • t 9c&nut 1?d . . qq..2.-21,(.0 L<50L , 2-(0[ 1„,
ASSESSORS PARCEL NO:
Building Omer: '` - . •' Contractor:
r( _ Morris Clark siding&Roofing
,l Name: 2728 E Garland
Name: Yl C l2i- J` ;�E r sposca 2e.WA 99207
( Address ��
Address- .,)�'•..�'Y1. ( /) --� . : al-e -
City: State: Zip:
City: State: Zip: Phone: ,/..,..:77:::;2":...??. Fac 5�0 7.,.: 2
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Phone: Pax:
Contractor Lic}lo: • Exp Date: i 0_i 6_•
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Contact:Person � = - City Business Lie.No:
Name: Cees 5? zNZIee,ILL11-
Phone: f`�Z-cap
Deschgie scope of w lc in decei :
•
Tear off ❑ Overlay
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Cost of project: $ 73 to.co
The permitee verifies, acknowledges and agrees by their signature that 1this Cthis
t' it is Spokanefor
construction
Perm t inure to the
dwelling,the dwelling is/will be served by pOtabie water. 2) Ownership
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) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal,state or local laws.codes or ordinances.ap6 oPlans
laps or
aadditional information may be required to be submitted,and subsequently appy be
processed i ._.__._ - 'g,tj
Ownership of resulting development rights granted by any issued permit inure . ' Nib owner �
Date 1,R 77 , 1-:Signature
Method of Payment: .
❑ Gash - ❑ Check 0 Mastercard X VISA ` n r td i
REDACTED , I_ Expires' - RED CTE® ;VIN#: /. __
Authorized Signature:
REV1SEk7 memos daVillThis document originally contained confidential credit card
ViYht---:-‘ information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to SOS DAN
G52014-030.
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