Loading...
2013, 09-20 Permit App: BLD-2013-1905 Tear Off, Reroof ;-•;' Community Development Department Permit Center (Staff Use Only) SIJOCITY W11e 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 PERMIT NUMBER: Valley Tel: (509) 688-0036 Fax: (509) 688-0037 PERMIT FEE: permitcenter©spokanevallev.orq REROOF CONSTRUCTION PERMIT APPLICATION Q COMMERCIAL tgi, RESIDENTIAL SITE SITE ADDRESS: 6•c71// ---7.- 7�C--� 07)0( V,0.6f (Zvi- T r ,?../ 7-, ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: • NAME: Q i 674Y ADDRESS: 6Q ei f( - (-e2±___----('i i--t CITY: �P 0 44 N ( JO-}- i (e/ STATE: C,O(A k( ZIp: r r' f PHONE: ® ! 3Y1(/ ( ,2 II ) FAX: ,_— _ CELL: CONTACT NAME: 77 /`f f-fes y5 PHONE: /y FAX: CELL: /�- CONTRACTOR NAME: 0 jero Gc-2v¢ I f ] c f' N.5 y MAILING ADDRESS: ep Of 30C 6 yo CITY: p f a w(1,('QY ___ STATE: _1_404 U ZIP: O V-5.7 PHONE: A) 7 7 ,v60 FAX: CELL: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE-USE: BUSINESS LICENSE No... CONTRACTOR LICENSE No.: EXPIRES: } -IISE: ` .-_?_(3 (gob yElOvTear Off erlay F OTAL COST OF PROJECT: $ 'Ai 37'!Q0 DISCLAIMER The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for constru on 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 wner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to b 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 per • s no,a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may b- required 'o be -.miffed and sub.-quently approved before this application can be processed. Signature --- //1. ...1C.,41 ,' Date: or ,-O (3 i • Updated 1-11-11 Page 1 of 1 http://www.spokaneva I ley.org/fi lestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc