2013, 10-28 Permit App: BLD-2013-225 Reroof: QCT -28-2013 13:57 FROM:INLAND ROOFING 5095339630 T0:6880037 P.1/1
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Jun. L 2011 8:51AM . Spokane Valley 'Permit Cuter No. IIUU Y. 1
*Wane
4000Valley°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 6-3
Spokane Valley, WA 99206
Tel; (5oe) 688-0036
Fax: (509) 688-0037
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(Staff Use Only)
PeRMIT NuineQ:
PEQMIT Fee:
REROOF CONSTRUCTION PERMIT APPLICATION
Czi COMMERCIAL RESIDENTIAL.
SITE ADDRESS:
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
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PNONO: T\ 1 l �a 11 FAX
CONTACT NAME:
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LA-
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CILIA
PHONIC -
FAX:
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CONTRACTOR NAME: I G c Qeoit
r MA>rLINOADDRU®81 5S 2$
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PHONF Spq. S35 - 1 SSP (a '
STATE; V!J q ,
FAX: usct. s (.312 • CPLL:
CONTRIC-TORLICENba No. INILJ N(LSO44JA ei(alArs:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND LNDICATE USE: " .
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CITY BUSINESS LICENbQ NO.: ((O I Gni ly
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TOTAL COST OF PROJECT: $ 1 c:\$ O
Overlay
DISCLAIMER
The permitted verifies, acknowledged and agrees by [belt signature that; 1) it this permit. It for construction or on a dwelling, the dwelling Is/win
be Served by potable warier. 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) AII•Construction le to be done In full Compliance wltn the City of
Spoken* Valley Development code. itcfarenCeO fades ere avalieple for r.viow ♦t the—City of Spokane Valley Permit Center. 3) The City of
Spokane Valley permit Ig nota permit ar approval for any violation of federal, state or local laws, codes or orglri c 6) Plans or additional
information may be required to be submitted and subsequently approved before this epPpG 4 oce —r)0/3
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SIgr,ature
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UL1282013
CSV PERMIT CE ER
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