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2012, 10-03 Permit App: BLD-2012-1735 Tear Off, Reroof `.; Community Development Department Permit Center (Staff Use Only) V III'Oro C11703 East Sprague Avenue, Suite B 3 Spokane Valley,WA 99206 PERMIT NUMBER: Et -1 z Tel: (509) 688-0036 4.00'Valle V. Fax: (509) 688-0037 PERMIT FEE: 73 1 AY �] oermitcenter©sookanevalley.orq REROOF CONSTRUCTION PERMIT APPLICATION 0 COMMERCIAL RESIDENTIAL SITE ADDRESS: ICI K. UJ} 1 oar �. k CIS_ V ( L1t;l ,W- ASSESSORS PARCEL NO.: �' LEGAL DESCRIPTION: J IlG(� C�� BUILDING OWNER NAME: NAP(;11 f)00,- LA •v I�`(c, I ,- �S � _Etka_ had v(.hlu`V\ NAME: �'nU,t. ��, f �;i�') 1,_ )U� ' j� 7 V.V 1 {lea ADDRESS:116 r l \ ,u t I boy-N... (,; . ) r� CITY: "rlo�ku,_ \( ec STATE: (L , ZIP: [Cf Z-t�" PHONE: 6 o C`2.2_- Ci,62_ FAX: CELL: CONTACT NAME: .L,4'l{ (kS (LLSC t L PHONE: FAX: CELL: CONTRACTOR NAME:t-� C��--�� MAILING ADDRESS: :JC- ( '1 CLL)(��� CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE pig SCOPE OF WORK IN DETAIL AND INDICATE USE: 1/v0J r-Nt--/ 4-ao C---- z- tailoc2 L Tear Off ❑ Overlay TOTAL COST OF PROJECT: $ IDD o0 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 appr. al for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be requir to/beeysubmitte. and subsequently approved before this application can be processed. Signatur - J����( i7/ �&l- iX� Date: �, /'C//.; "--- Updated 1-11-11 Page 1 of 1 http://www.spokaneval ley.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc