2013, 03-11 Permit App: BLD-2013-0392 Reroofr: &Q.. &a'3 — O SY 2-
Permit Cenlec
S°"okane 11703E Sprague Ave, Suite B-3 PERhhTNI7MBER
p Spokane Valley, WA 99206 PERMIT' FEE: $ (Z9. 75-
009)6n-0036
vw.spoknePAX: (609)688-0037 COP
www.sookanevaRcv0ra
Community Development
Reroof Construction
Permit Application.
❑ Commercial
® Residential
SITE ADDRESS: )2Sai' E, 7+b e -
ASSESSORS PARCELNO
dgf Co
Badding Owner:
Namc )r
02k— 1-artra II
Address
ontractor.
Name:
Address:
Monts Clark Sirfag & Roofing
2723EGadand
Spokane. WA 99207
492-2993
City:
State: Tap:
Sty:
State:
Phone:
Fax:
Phone 7.47 o2...P.4S Fan: 7/S-612.7
Contact Person
Name: Lon_Q agpk i v -
Phone: »17;2-02,...4 -?
Contractor Lie No: Exp Dare: !OH
CityBusiness Lia. No:
Best:the scope Ioffworic in delal/Tear off ❑ Overlay
ei-nSltt 411 I�77�.YVLtv�-q,'�e� Ntr-e�im� `a;bf-
Cost of project: $S) 0003
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 resulting development rights granted by any issued permit inure to the property owner.
al t'1`fe S�ihs2 ..)DP W' d1 A IA 0
Signature
Method of Payment
[] Cash ❑ Check ❑
Bankcard#: "REDACTED . -
Authorized Signature:
ans®ereI=
Date
Mastercard TO VISA
Aires: - REDACTED vitt#:
/ .1
REDACTED
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to SOS DAN
GS2014-030.