2015, 06-08 Permit App: BLD-2015-1331 Tear Off, Reroof ON, Community Development Department
'9 '''''''',I,—.,-.-- Permit Center (Staff Use Only)
SCITY QFpokane 11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 PERMIT NUMBER:
Valley Tel: (509)•088 OG36
Fax: (509) 688-0037 PERMIT FEE:
permitcenter@spokaneva Iley.orq
REROOF CONSTRUCTION PERMIT AP . A •
ID COMMERCIALRESIDENTI', ,. , _ %" ' ._)015-13(
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SITE ADDRESS: � d i 0"
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PEC 1.--1I 1r�' � II
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: 1
BUILDING OWNER NAME: ! JUN 0 8 MI5
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NAME: )0dAx i�� , -� , ;. -,=E N T-E
ADDRESS: \0.J'\ N VV()60k.JSA FA 1 SUB _ _ _._._._; i
CITY: U? d o Q. Vo„ ` STATE: U3P1
,...•......QIP: Z-� - __ I
PHONE: 34 I-3-71-01170 FAX: CELL:
CONTACT NAME: i 0,1a.,f 5.,01\
PHONE: ti..c 1—3--i"t q1 id FAX: CELL:
CONTRACTOR NAME: ..
MAILING ADDRESS: '
CITY: STATE: ZIP:.
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
r:CRIBE THE SCOPE OF WORK Vs1 DETAIL AND INDICATE USE:
N,O tiv a 0+ apt , re.- 1 i e, LI- • -e,a� -'S --ex i s71-, ra c
Tear Off d Overlay
TOTAL COST OF PROJECT: $ 4/00
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 pe ••' is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may .e re. ired to be subaitted and subsequently approved before this application can be processed./
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(P 8 / 5-
Signature A 'V � ' Date:
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Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc