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2011, 08-29 Permit App: 11002647 Reroof { `' Community Development Department b *dune , . Permit Center (Staff Use Onlly�)/ (,J �j Spokan11703 e Valley,WA 99206 Avenue,st Sprague Suite B 3 PERMIT NUMBER: /(Z6 ( / Tel: (509) 688-0036 1/41/dosF ^7 Valleyx Fax: (509) 688-0037 PERMIT FEE. ( / permitcenter@spokanevalley.orq REROOF CONSTRUCTION PERMIT APPLICATION E! COMMERCIAL �J� RESIDENTIAL • SITE ADDRESS: 2/921 E. 9 ,4 ASSESSORS PARCEL NO.: q52l4-1,0ZoyLEGAL DESCRIPTION: • BUILDING OWNER NAME: . NAME: 00,0 P/46/ ,e( ADDRESS: 11/4 G- � - ' CITY: �Pi/,t tlt f/4My STATE: W4 ZIP: 9/2; PHONE: FAX: CELL: • CONTACT NAME: • PHONE: FAX: CELL: CONTRACTOR NAME: AAA, aL„ftf /45--- r a lIcet LSC . . MAILING ADDRESS: -7 /5 7,1lt7�(V_ . /1.1, ' CITY: 51PeE STATE: VA ZIP:. 9'YZ/7- 7s>7 PHONE: -- 40`„371P7FAX: 57299 ' , g . 577e7 CELL: 5e)(7.—. .... ----.5-13/9- CONTRACTOR LICENSE No.:A‘/S-1/dCL i oCA EXPIRES: Z/CY /3 CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: rE goof /VOL Citi rlNG- 5'-vio Cath e5 fY/c u S /.d4[�S c7/ :O Y,e. LA-mi, Q%tir/o5/7%'2 1 -Ci-8114LL5 , ,u 6- jour / v > 7 4°P //root/-'imxi. 0 Tear Off 0 Overlay . TOTAL COST OF PROJECT: $ 5-1©a _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. Signature &.-- Date: g/20.2// Updated 1-11-11 Page 1 of 1 http://www.spoka nevalley.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc