2012, 04-24 Permit App: BLD-2012-0508 Tear Off, Reroof .11111:
r 30 12 09: 25a Inland Roofing 5095339630 p. 1
Jun. I. lUII ti:7IWY! . Jpol(ane vdiley rceuilt t.citci ,tBJLO 2. —'0�0�
J:
Community Development Department
Permit Center (Staff Use Only)
Sp'Okane 11703 East Sprague Avenue,Suite B 3
Spokane Valley,WA 99206 PERMIT NuMsElRr:
Valley 1
Tel: (509)686-0036 PERMIT FEE: X29 S
1116
• Fax: (509)688-0037
400° permltcenter@spokanevallev.orq
_ REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL t'i RESIDENTIAL •
SITE ADDRESS: Li bD O 3 -1,..3coulrz,c:€4-
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: •
• BUILDING OWNER NAME; .
•
NAME: \)O1 C-1 f One.,sts:Ly
ADDRESS: .) tJ 6,io N -_je N a'- q
•
. CITY: IA-C_ �,&r FY
STATES -2.- jIp7 6J5 7(-1 /
PHONE; FAX: CELL: , • .
•
CONTACT NAME: - .
PHONE: • . FAX: . CELL: • ,
CONTRACTOR NAME: ?r oJ% a Qo flat i PN -IOC . .: • . •
MAILING ADDRESS: 55 1 S • G cSQ GtU(.•e.• Awe _ .
• CITY: SFo ¢
n . Vc J STATE: A . . .ZIP. 4 912 6 2,
PHONE: 509'535- S66 FAX: 504^'S aLa`'i(03 " CELL:
(Alai .
CONTRACTOR LICENSE NO.: 1 N I ANRSo HJA EXPIRES: CITY BUSINESS LICENSE NO.: 401 `14„ I i
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: ' -
4 Tear Off ® Overlay :
TOTAL COST OF PROJECT: $ .S D.CD : ' qq,`, 7 S
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1)if thls 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 ownet.3) TM signatory Is the property
owner or has permission to represent the property owner In this transaction. 4) All•constructron 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. S)- 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 s • equently approved before this application can be processed.
signatur- ,/`Jr _ .. 11 Date: 412c Ii-.
+
Updated 1-11-1L Page 1 of 1
http://www.spokanevalley.orgJfilestorag e/124/938/210/948/1496/fieroof_Permit1-11-11.doc
Received Time Apr. 30. 2012 9:43AM No. 7422