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2013, 05-23 Permit App: BLD-2013-0945 Tear off, Reroof Community Development Department ` Permit Center (Staff Use Only) Spoll�ane 11703 East Sprague Avenue, Suite B-3 Spokane Valley,WA 99206 PERMIT NUMBER: Valley. Tel: ) Fax: (509)(509688-00368800367 PERMIT FEE: `�Tj 7�/�y permitcenter(@sookaneva Iley.orq REROOF CONSTRUCTION PERMIT APPLICATION El COMMERCIAL t«« RESIDE1 TTAIt �........_... ._ Tis--SITE ADDRESS: i 3 3 19 1: 7 —ti^ ill✓L project #B ld 3- ` (s-- ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: RECEIVED BUILDING OWNER NAME: • /e L" , MAY 2 3 2013 NAME: fy/ .e ADDRESS: .CSV PERMIT CENTER CITY: E) s V�1 Le j STATE: w ASUB LIP:% '`1` # ( ( (o PHONE: q0y0/ FAX: 1.. 1 ,_.......,_. ... 1 CONTACT NAME: ,..6'74/14, (e? ps 4 hjtre PHONE: FAX: CELL: CONTRACTOR NAME: %E4qNki/ "-WC U MAILING ADDRESS: eC?. ©�( I 5 / , w x J f CITY: A i�a4 , r/Q(C V�.tI wA S STATE: R .ZIP:. 00 / PHONES '-'0 — 0 51-IIT/9 FAX: CELL: s Alt4 e CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Et Tear Off if Q Overlay TOTAL COST OF PROJECT: $ / FQQ -,- / eD.� /c 'O ,G 4} 2Aie DISCLAIMER 1 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 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 re 'red to be submitted and subsequently approved before this application can be processed. Signature I .7 Ceti--_ Date: =2.3- /3 Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc