2013, 03-27 Permit App: BLD-2013-0519 Tear Off, Reroof 11..3r 2713 12:00p Ipine Construction 509-448-5504 p.1
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Permit Center •
Si 11703 E Sprague Ave,Suite B-3 PERMITNUIvIBER:
�ll1 Spokane Valley,WA 99206 1.
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4000.-Valley. (509)688-0036 FAX:(509)688-00370
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nermitcenter(clspokanevalley.ore
Community Development
Reroof Construction ❑ Commercial
Permit Application gResidential
SITE ADDRESS: dc c\Z- i
ASSESSORS PARCEL NO:
Building Owner:
Name: L i - Contractor:.
L u/�J C A n!
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Name: C. arc �e7ev Sr f2 c If 4.3.4.1
Address: S�M E Address: `�/ [- Z e--.A46) r 2 fit.
City: State: Zip: City: p c I . sr State: % „j, Zi t
Phone: Fax: , Phone:. e, ca (.9 g Fax: g ou , S S-O a-4
P.t.cPtor Lic No: u� .�e� Exp Date:
-Contact-Person City Business Lic.No: • • • • .
Name: -1- .11..(t-t .-1 S CLAPPe .
Phone: •
Describe the scope of work in detail: Tear off n Overlay
re P. o►�.! (2...E o......... -.c
Cost of project: $ Z :k _ -
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) 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) 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 of r suiting development rig granted by any issued permit inure to the property owner.
Signature e _ Date 3 la-, 11 3
Method of Payment:
❑ Cash ❑ Check El Mastercard pj VISA •
Bankcard#: REDACTED Expires: _F3EDACTED VINE REDACTED
Authorized Signature:
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
Effective October: and the original document destroyed pursuant to SOS DAN
Page 1 of l GS2014-030.
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