2014, 08-01 Permit App: BLD-2014-1851 Re-Roof00*'
C11CITY OF 000
;V10-Ka-ne
,,;0OValley
Community Development Department'
Permit Center
11703 East Sprague Avenue, Suite B-)
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@spokanevallev.org
Project # �L -00 _ 651
REROOF CONSTRUCTION PERMIfU �A �,'Oh µ
❑ COMMERCIAL ® RESIDENTIAL
SITE ADDRESS: 10723/10725 E 27T" AVE, SPOKANE VALLEY, WA 99206
ASSESSORS PARCEL NO.:45283.3626 LEGAL DESCRIPTION: LOTS 17&18,BLOCK 36,KOKOMO
TOWNSITE
BUILDING OWNER NAME: DALLES AND DENICE KIENBAUM
NAME:DALLES & DENICE KIENBAUM
ADDRESS:5415 S. CONKLIN RD
CITY:GREENACRES STATE:WA ZIP:99016
PHONE:509-928-5415 FAX: CELL: 360-690-6345
CONTACT NAME:DALLES KIENBAUM
PHONE: 509-928-5415 FAX: CELL: 503-539-5692
CONTRACTOR NAME:N/A
MAILING ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX: CELL:
CONTRACTOR LICENSE NO.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
REROOF OF DUPLEX
❑ Tear Off Overlay
TOTAL COST OF PROJECT: $2000.00
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 ma a re fired to be submitted a d sub quently approved before this application can be processed.
I
Signature Date:
Updated 1-11-11 Page 1 of 1
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