2015, 04-27 Permit App: BLD-2015-0929 Tear Off, Reroof A
Community Development Department
• Permit Center (Staff Use Only)
—r "�I.,A„e 11703 East Sprague Avenue, Suite B-3
rel Spokane Valley, WA 99206 PERMIT NUMBER:
Valley Tel: (509) 688-0036
x Fax: (509) 688-0037 PERMIT FEE:
permitcenterCilspokaneval ley.orq
REROOF CONSTRUCTION PERMIT ' ' • LICATION
0 COMMERCIAL 0:1 RESIDEN IAI ojec; .tDl5 -O !/
•
SITE ADDRESS: 111515 E 7 A V / P _______________
, ECEIVEID
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:I I
BUILDING OWNER NAME: 2015 �
NAME: 711_z_.(111izniii;I'L,211._IT7,7g*f6.ET/�A17WONY /1116 CENTER
•
ADDRESS: t-1 l LS U R CITY: 5)90 K l4>`I F UA LLEY STATE: `1l/r�
PHONE: 5099 . 9o18_o555 FAX: CELL: 5-p9 _ G9q _ 8SQ8.-
CONTACT NAME: 1 DA) V y`j iAl6
PHONE: .5U9 _ G — 0555 FAX: CELL: 509 _ gg9y_ 8:508'
•
CONTRACTOR NAME: p U l .O)IRP iA A "sr F
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
IN Tear Off ❑ Overlay
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TOTAL COST OF PROJECT: $ 5000
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 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. /1/4--C —
Updated
Signature9/ /Date: ;> /\1-11-11 Page 1 of 1
http://www.spokaneva lley.org/fi lestorage/124/938/210/948/1496/2743/Reroof.doc