2012, 07-24 Permit App: BLD-2012-1174 Roof c Community Development Department
Permit Center (Staff Use Only)
CITY(OKane SpokaneEast
ValSprague
ley, WA 99206Avenue, Suite B-3 PERMIT NUMBER:
Tel: (509) 688-0036
4000 Valley Fax: (509) 688 0037 PERMIT FEE:
pax: (5 9) 68asookanevalley.orq
REROOF CONSTRUCTION PERMIT APPLICATION
CI COMMERCIAL RESIDENTIAL
SITE ADDRESS: ':X G� f- C )
ASSESSORS PARCEL NO.: Y5ria ./55 LA LEGAL DESCRIPTION:
BUILDING OWNER NAME: ()Aar/p5 S�
NAME: 0✓)av"( Co �`3 / i-
ADDRESS: / 3 ,0 /, g,rn ro A G e , /� '
/ STATE: VI/ 4 ZIP:
CITY: ��K4alP �( /� /�
PHONE: 587 - ( L/ 0'07 FAX: CELL:
CONTACT NAME: /pc KJ� �^ 0,,,, 16-,,
P HONE: so./ - /`o / - '3 / FAX: CELL: /
CONTRACTOR NAME: RO6 C Pt ` a 450, R A C (a.I 5/ r£c7 ioii Z L-. C
MAILING ADDRESS: ��Q �i /r "/CJ/'� v l
CITY: spc�C`u N U`�
STATE: W'/�` ZIP: 7 y,...20.6
P l�e `
P HONE: 50 . lir/- l`.1 / FAX: CELL:
CONTRACTOR LICENSE No.: k,ACC OC Ir-�RAPIRES: /4//3 CITY BUSINESS LICENSE NO.: ,a_2 C „9-7‘z-f/
DESCRIBE THE SCOP OF WORK IN DETAIL AND INDICATE US : `
lel- off' Q W5, 'r rov f,�c <el kr/l/ .1144Ked g c p w r -t ii 1, /a,Pel 5AsT,
EX Tear Off ❑ Overlay
TOTAL COST OF PROJECT: $ 6 ' '
l
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.
SignatureGivi7.4/662Date: 7/2r//-7-'-
•
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc
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Spokane County )
Site Address: 13005 E SEHRO AVE
Parcel: 45272.1554
Caty: SPOKANE
Owner SALT.CHARLES L i T
Land Saes 11,616 Square Feet
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Tax Code Area: 0144 412T2154 T r
Nerqhborhood: Spokane Valley i 41272 1541 / I
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