2015, 03-11 Permit App: BLD-2015-0459 Reroof Mar 11 1511:38a Alpine Construction 509-448-5504 p.4
Sep. 27. 2013 10:44AM No. 5031 Y. 1
Community Development Department
Permit Center (Staff Use Only) -
*awe 11703 East Sprague Avenue,Suite 8-3
Spokane Valley,WA 99206 PERMIT Pinafore:
Ta (509)68&0036
40000"ValleY
o Fax: (509)6813-0037 PERMIT FEE-
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persniLcentertIDsookenevallev.ort
REROOF CONSTRUCTION PERMIT APPLICATION
E, COMMERCIALRESIDENTIAL
SITE ADDRESS: S 'S 2:3 �. I `� — L.iJ
ASSESSORS PARCEL NO.:ssao. IPt>8 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: C.iik (2-L3csA3 / BA- 0 C- '-E µ ftN
ADDRESS: S A-M kc"
Ctrr• STATE: ZIP'
PHONE:
FAX CELL:
CONTACT NAME: DAM ' v S R--A P P 6
MIME: FAX: CELL:
CONTRACTOR NAME: 4 L P i 1.1 C C 0"— S i rz 'J L 'T-1 l 0 tV
•
MAILING ADDRESS: 4-4 c'I 1 CI e C-, L.e Ni N A-t !2-E Q R.
CITY. ' P 0 (r A'- G ` STATE: \e-1A rim Z z 3
PHONE: LI t-!.` , - v O Q c FAX! '-t C. S.-S.0 caw
CONTRACTOR LICENSE NO.:44 E.P t N C 4C o 9 8r41EXP1R6S!t o J3 i I i 3 crrr susuiEss MEW!No.: T 1 Z.c..:o 3 311 !3 vs
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
fm Tear OffQ _ _
/ Overlay
TOTAL COST OF PROIEC : 5 (D9 �S
DISCI.AIIIER
The permitted verities,acknowledges and agrees by their signature that: f)if tits permit Is For construction or on a dwelling,the dwelling WWI
be served by potable crater. 2)Ownership of this CRY 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} Alt eonswction Is to be done in rWl compliance with the Oty or
Spokane Valley Development cone. Referenced codes are available For review at the City of Spokane Valley Permit Center. 5) The City of
Spokane valley pear Is not a permit or approval Tor any !Mon of federal.stat*or local laws.codes or ordinances. 6) Plans or additional
rntormatfon may beutred to he submitted and subsequ approved before this application can be processed.
Signature � _ --c-_ Date: 11 / \S—
\1.-" Project # 6L:b--i0I3-ClISci
RECEIVED
MAR 1 1 2015
CSV PERMIT CENTER
I
Updated 1-11-11 S U B : I 1 R E . # Page 1 of 1
http://www-spokanevalley.oroJFlestorag- • - - r:�,.,.u[!in
Received Time Mar. 11. 2015 11 :45AM No, 1586