2015, 03-24 Permit App: BLD-2015-0620 Tear Off, Reroof •
Community Development Department -
kle Permit Center � D
SitToW3S
11703 East Sprague Avenue, Suite B-3 VSpokaneValley, WA 99206 PERMIT UMBER:
Valley. Tel: (509) 688-0036 .1
.000Fax: (509) 688-0037 PERMIT FE; I
perm itcenterspokanevallev.org
CSV PERMIT CENTER
REROOF CONSTRUCTION PERMIT MI — A -0141 //-
COMMERCIAL
COMMERCIAL RESIDE A --
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: IAG� �QOS . .-
ADDRESS: 10'911_ E
CITY: Spee t! \�/ STATE: cr ZIP: �1t't-2_O(7
PHONE: ZC.(- (.4 13 FAX: CELL:
CONTACT NAME:
PHONE: $,2.3.-C)G9-1- FAX: CELL:
CONTRACTOR NAME: 0, -e
MAILING ADDRESS: .U. 'J 7
CITY: Sc>„ .v STATE: LS ZIP: Ck`21O3
PHONE: c4,„ -- 6 3 39 FAX: CELL:
CONTRACTOR LICENSE No.: 93U3L, EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1 tit'
Tear Off Overlay
TOTAL COST OF PROJECT: $ '79do.
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 s .mitted ancLybsequently approved before this application can be processed.
Signature /4 Date: 3 -
Updated 1-11-11 Page 1 of 1
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