2015, 04-28 Permit App: BLD-2015-0950 Reroof 11�r 28 15 03:04p Alpine Construction 509-448-5504 p.1
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-Sep. 27. 2013 10:44AM Na. 5031 P. 2
Mel Community oevefopment Department
Permit Center (Staff Use Only)
Silarlane
11703 East Sprague Avenue,Skids-3
Spokane Valley,WA 99206 PERMIT Nola.
l Tel: (509)688-0036
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a Tex: 688-0037-0036 PERMIT FEE'
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REROOF CONSTRUCTION PERMIT APPLICATION
H COMMERCIAL RESIDENTIAL
C �.r .. .. 6150
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SITE ADDRESS; 0�u 1 ZZ.�aItM)
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ASSESSORS PARCEL ND.: LEGAL DESCRIPTION I '``i I E t'i ,, a
BUILDING.OWNER NAME: ¢
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NAME: \\.A.,I! L L.1 A .4-ti S -s 2015
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STATE:
PHONE: FAX! CELLS IRE
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CONTACT NAME: D A i2 t v s R A p p E . ..___
MONO q FAX: CELL:
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CONTRACTOR NAME: L 7 I NJ L C c?N S T iz`-) T i o ry
MAILING ADDRESS: ' II l 9 C 6 L e.tom.! N A-i 2-C D A.
Cxrr. S P 0 1<A' e STATE: \„.....1 A Zip: C)Ci Z-2-3
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CONTRACTOR LICENSE No.:ALP'N C*p 9 8KtAIEXPi1ES:i e/ 31 /11 CITY BUSINESS LICENSE No.: T! zoo -3111 a kr I
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
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TOTAL COST OF PROJECT: $ 4 L <--- 5
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: I)if this permit Is For construction or on a d$eIIIng,me dwelling Is/will
be served by potable water. 2)Ownership of this City or Spokane Volley 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 luu compttance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permt Center- 51 The Qty of .
Spokane Valley permit not a permit or approval for any violation of federal,state or local laws,codes or ordinances. 6) Waris or additional
information may be re ulred to be submitted and subsequ approved before this application can be processed.
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Signature �--"�, Date: `/02 `3 AS—
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Updated 1-11-12 Page I.of 1
http://www.spokanevalley org/filestorage/124/938/210/940/1496/2743/Reroor.doc
Received Time Apr. 28. 2015 3: 12PM No. 1803