2014, 05-02 Permit App: BLD-2014-0943 Tear Off, Reroof Sep.'.12 •:7.013 10:.46AM • No. 4815 P. 3
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Community Development Department
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tt� Permit Center (Staff Use Only)
: e 11703 E0^aE SprpguP2nue,Suite B-3
Spokane Valley,WA 99206 PERMIT NUMBER' •
..I: . '• :' .• • V ll •' ' Tel: (509)688-0038 PERMIT FEE:
a Fax: (509)688-0037
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• REROOF CONSTRUCTION PE ' MITAPPLICATION
• 8i: COMMERCIAL a11sl! RESIDENT ,At.
Pro'. . IP �- - 'ate
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ASSESSORS NO.1 LEGAL DEQ RIPTION: r RECEIVED .
;B[JII�DYNG OWNER NAME: �, 1 'Y� .1/ G /
NAME: if 1 (� U ' �� roe 1 r !U 2 2014
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•Ca at A '@ r` R• STATE: MI, _ -. _ •
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?HONE' i 5lL/,7 (tom % 0 el.X: t E�/__;4
CONTACT NAME; ' •
fot :•i• . FAx CELL: •
CONTRACTOR NAME: a II/ lwir, - , .....
MAIT.Ii�G,ADDRE55! r r. I , v J' L , #4.1 A I •
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C1TY.�' 1.0 , I J STATE: A, . Z1• _ r� 0
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• ,rbr1TR•CT,.;,L Z,i4�.,: .` EXP RES: �. G.VrY 9USINESS LICENSE NO.;
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DES` 'RIBS THE OP ' WO.^ r I c ET. L AFD OxCATE U E:
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l4:674!C bsT OF PROJECT: $ �� 0 0 o — ••..
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The Permitted verifies;acknowledges and agrees by their sign/Juin!that: 1)If this permit is for construction pr on a dwelling,the dwellin61 Istwtil
tr4seived•by potable water. 2)Ownership of this City of Spokane Valley permit Inure to the property owner.3) The signatory Is the property •
awner or has permistlon to represent the property owner In this transaction, 4) All construction is to be done in full compliance with the City of •
$pokan..e;Y,alley bavelopment code. Referenced codec are available for review at the City of Spokane Valley Permit Center. 5) The City of
SOke'iW•vsrley permit la net a permit or approval for any violators of roarer, state or local laws,codes or ordinances. 6) Plans or additional
1,(i}F.ormati0n may be equlred to be a bmltted and subsequently proved bef. e this application can be processed.
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1411°:ttiure/ /(- ,\i/\ / e .44. Date: f` c , -
Nathnrr•'of•payment: 0 Cash 0 Check - �' .1i ^4-mcfArcar J
• .�•...:"•• REDACTED
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b �t'IiI ed•Signature: _�'R C V C1
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gtrttivt•October 29,2007 Page 1 of 1
F:J7:\Cohwiiunity Development\02 Administration\03 Forms-Official Versions\Permit Cehter\Reroof Construction Pertnit App
10.2(3,07,doa
.'Phis document originally contained
•.`confidential credit card information which .
• was redacfed pursuant to RCW 19.255.010
" 'int!' the original document destroyed
pursuant to SOS DAN GS2014-030.