2013, 11-04 Permit App: BLD-2013-2280 Reroof , :„. .._______.._ . _.... ...,..„............_...
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Community Development Department
Permit Center (Staff Use Only)
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POli.ane 11701 Fa5t Sprue Avenue, 5uite B-3
Spokane Valley, WA 99206 PERMIT NUMBER:
Tel: (509) 688 0036
.0001rVailey FFoc (509) 688-0017
arrinitcenter(Ospokanevalley.ord PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
L] COMMERCIAL IM ) RESIDENTIAL
SITE ADDRESS: A9_15 e
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ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
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1 Project #-________-_
BUILDING OWNER NAME:
mmirimmeiromno, tr - ..EGE454.1„Liii.g........,
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NAmE: El eilkvinn
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AvoRESS: . IL . _...e ....... q-na i Nov 0 4 203 1
CITY: . STATEL_W
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PHONE: FAX:
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CONTACT NAME: j 0 . ._ . ' ._________.
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PHONE: ,a1C-1—_;*19_13 FAX: CELL: .. _
CONTRACTOR NAME: reeg,e4( 0 D eg,(:),, F_......__. . ....
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MAILING ADDRESS: Y. o . ToCT>e-, —WI A
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Civ; ..c)0 .404..ke-/ STATE: W461` ZIP! 9 c't D 1
PHONC: 4C/C - Lk-cs 3 - -I I 00 FAX: 45s3 - flt 04) CELL;
CON xACTOR LICENSE N 0.Re ike,e C.%(Igt 14 944 EXPIRES: CITY BUSINESS LICENSE NO.:
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DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: .. __...
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.540w Overlay
DISCLAIMER;
The pormitted if,.. 1 I A
VPr,..,-S, ar.tricrw,o,,INS and.;jr:t by their signAiturc thal: 1) if tills per mit Is for con-structiou ur on a dwelling, the LIAL.11ind !,:"."-i:
Lie xm-Yed by potable water. ,) OwnerItip of this City of Spokane Valley per roil, inure, to the propriety owner. 3) (ha sIgnalur y I, :he .7v1,:,ptri-:'‘.
a'Amer or has permission to repreKent the property owner in this transaction. 4) Al!construction i to be done in full corriplianLe with the t•r.1'11
qpok.ane Willey Development code. Referenced codes are availublc for review :,I 1.01: City of Spokane V.Aley Permit Cent-di. 'r) Tie L.•.'.:. :.•!'
;Iir./1<une Valley per mit Is not a permit or approval fur A n y violation of faclerM, stale or local laws, codes or ordlnanccit. h) Pldns or e:kiidc,cei
information nicry be required to be subnilited and subsequently approved bcfore this applicalinii tun be processed.
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Signatur - , Date: .
Updated 1 11-11 _ _____ P:Icie I of 1--
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