2013, 04-09 Permit App: BLD-2013-0600 Tear Off, Reroof ii:i 0., ilip ww,43
Penni!.Center CO
Pr
Siam- 11703 E Sprague Avc,SuitOPERMIT NUMBER:
Spokane Valley, 06.-�.� PERMIT FEE:
. Valley` (509)688-0036 'AX:(509)688-0037
www.spokaney� i r-e4ct ° -____D_______:13:________-6 CSO
Community Development RECEIVED
Reroof Construction n mercial
APR 0 9 2013 Residential Permit Application ____
• k..., v PERMIT CENTER I
SITE ADDRESS: r- & -1o. "
ASSESSORS PARCEL NO: - -
Building Owner: Contractor:
IMILRIIMI. ii! Name: ^� 7��� 04b •`f-Rb `` `1 4.1i;.* 'c.L1c
EXSIIPIIIIIIIIWIIIIIMIIIIIINII Address: 9.0 ' ".-11,1411111W
INa state: Zip 41P j City:S Vae. Shite: A3 Zip:ciC.y
Phone: gli. Fax: Phone:4 3 '' ob
rx: e 2, -1(0(.0
Contractor Lie No. ,Exp Date: -0
Non
•,
Person City Business Lie.No:
Nance:
r
Phone:
rte.-- -�. o
Describe the scope of work in det 7: Tear off Overlay
Cost of project:$ -''�/ .A 0 /�? 4
N'`i e ertilit ve er Pies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) This 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Signature Date
Method of Payment:
❑ Cash E Check ❑ Mastercard VISA
Bankcard#: REDACTED 1 ,t 1pires: REDACTED `'1N#:
.
Authorized Signature: I
REvnSED Bf2 Ot n$
This document originally contained
— confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
____ _. „—..-.. ML IT Iran nnnk m7 ru7J•IIIf1 J J 1-.TOT CTGi2-an->.i