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2013, 05-01 Permit App: BLD-2013-0771 Tear Off, Reroof rproject # g I i RECEIVED 1 Community Development Department 1 �Rfl 3 0 2013 Permit Center 1 (Staff Use Only) CITY Wm11703 East Sprague Avenue,Suite B-31 c� SP ei Spokane Valley, WA 99206 i p€ j fit ikiii T CENTER \ii_11&1y' • Tel:Fax: (509)(509) 6886880036 0037 s U,.QE MI� Fr i REV. 4000 perm itcenter@sookanevallev.orq D _ �+uH�r__!`y REROOF CONSTRUCTION PERMIT APPLICATION ❑ COMMERCIAL © RESIDENTIAL SITE ADDRESS: 12807 E. 13 ave. ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME:Scott Sue ADDRESS. '_ve. I ). S07 -5 , 1J !4 v 4 CITY: t. 1 S d'D k t.,✓tt. STATE: L✓kl. ZIP: ^" PHONE: i ,2 b - -3 02- 6 FAX: CELL: CONTACT NAME: Crump roofing PHONE: 216-7678 FAX: CELL: CONTRACTOR NAME: Crump roofing MAILING ADDRESS: 11533 Idaho road Crrv: rathdrum STATE: id zip: 83858 PHONE: 216-7678 FAX: CELL: CONTRACTOR LICENSE No.: crumprI932KA EXPIRES: 5-1-2014 CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: Tear off existing one layer of shingles install new laminated shingles. Tear off existing one layer of shingles install new laminated shingles. ® Tear Off ❑ Overlay TOTAL COST OF PROJECT: $ 4390 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: T 7 - �2 Method of payment: 0 Cash 0 Check 0 Visa 0 Mastercard Bankcard #: EXP: 5-1-2014 VIN#: Authorized Signature: -- Effective October 28,2007 Page 1 of 1 P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Reroof Construction Permit App 10.28.07.doc