2014, 05-23 Permit App: BLD-2014-1165 ReRoof Prolect ;?)_ci)--..)--01`1-1(65
- Permit Center t jl
i t 703 B Sprague Ave,Suite B-3 L Co
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akane Spakane Valley,WA 99206
PERM! l,;
(50988-0036 FAX:(509)688-0437
www.spokanevalley.org r
Community Development .. - CSV
Reroof Construction •�- 0 s r 1;�ercia ',. ���1
Permit Application. E Residential ___,
SITE ADDRESS: f 31 i 3 E E . S-e en ro Ail alW,'�-e (ia -h
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ASSESSORS PARCEL NO:
Building Owner:. Cdntractoi-:1:.- r'
Name-
- �1� Morris Claris Siding&Roofing
6-(� [21a-L' Name: 2728 E Garland
Address S'a.4,1/1-e-- Address: Spokane-28,2WA�9s2o7
City: State: Zip: City: State: Zip:
Phone: Faac ' Phone: . . 62,,� Fax:
..yel 7�
Contracf'I n e Ltd le S'01021�1�Exp Date: icy_1 (0... 1->,
.Contact Person • •' s City Business Lic.No:
Name:
car! rc`U 16au
Phone: /?-,24)2
Describe-lite scope of work in de r [1]Tear off g Overlay
Liku4A'cuLe lit e (.t e oi'VU I'W f-P,rK p r.)1
Cost of project: $ Ltxj
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.
Signature - Date
•
Method of Payment:
❑ Cash - ❑ Check ❑ Mastercard 1R1 VISA
Bankcard# REDACTED f Expires: RE .,
VJN#:
Authorized Signature:
REVISED 82320DS —
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. J
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