2012, 10-25 Permit App: BLD-2012-1932 Tear Off, Reroof •Permit' Center ta-2•40/4,'if5z
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11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206 PERMIT FEE:
.00,011;Vallier 009)588-0036 FAX:009)688-0037
www.spokanevalley.mg
Community Development
Reroof Construction fl Commercial
Permit Application R Residential
SITE ADDRESS: j -,-)-2cc-- - E_, 3 cpik- rit) ,Q._ •
ASSESSORS PARCEL NO: '1 i----
Building Owner Dwocr, _ Contractor
Nanlec",„ Tr_I CI\ 0(1,:‘,)VA Name: r- (' n1.17-CA.C‘iti-5
Address' Lc62u--6 E. 1k RAY2- Addresx c.,,5 A:,) OAJ-naii I.??
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City: kc ,- %, , ( -,41 , state: u),-_-:Azip: cici 0-;)--icitY:4) a np oily state:tio 4 4P:992i/2.
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Phone: ----,
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5(-)"7-23(.7-
Contractor Lie No:---)
t,OP it'7/0' '''144 Thje- i F77)
1/91196
Contact Person ,-,-._ . _. — . „......._- City Business 'Lic.No- i ..-) / -7,3 a
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Name: Mark rv)ii I 60Z-.? co
Phone:
De7ibe the scope of wotk in detail: 4 7 ( Tear off . ORverlay /e
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-r-6' ep-c.3. 114' 1---e7-)61.7z 03;117 v Izt,414) plii -2 --i-1074 )-0 - ' tr
60 ni( 70 -,,-
Cost of project: $ , Set9---
The permitee verifies,acknowledges and agrees by their signature that 1) If this permit is for construction of or on a
dwelling,the dwelling is/will be served by potable water. 2) Ovenership 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 compfiance 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.6) Plans or
additional information may be required to be submitted,and subsequently approved before this application can be
processed. *
Ownership
bidr,•• •- rights granted by any issued permit inure to the property owner.
Signature tvpie.
ng dt t'vrL- Date ?—
Method of Payment
0 Cash 0 Check 1:1 Mastercard VISA
Bankcard#: Expires: VIN#:
Authorized Signature:14i li
7.,:e. e: 6, /1.4,A_ • 1 A
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