2014, 08-26 Permit App: BLD-2014-2047 Tear Off, Reroof A. Community Development Department r,ejcet -2-0(li' LI 7
Permit Center
S17East Sprague Avenue, Suite B-3 nt C dCpr
'V Ds poKane Spokane Valley,WA 99206 PERMIT NUMBER:
Valley Tel: (509) 688-0036
Fax: (509) 688-0037 PERMIT FEt�E}v�+ � 6 20��
permitcenter@ spokanevallev.orq
CSV PERMIT CENTER
REROOF CONSTRUCTION P7!11T AF^PiONFV # j
CE COMMERCIAL ESIDENTIAL •
SITE ADDRESS:
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME: • .
NAME: "-1/r,--)1 j 13 ./1/4/ --,
ADDRESS: ) 'LJo 2_2 2-1 \ •
CITY: S PO )�"-- .z c..4 I - I q f` ,i STATE: L-3 ZIP: q 5 2 I to
PHONE: SL2 c j c I '---j 0 11 (,, FAX: CELL: .
CONTACT NAME: ✓' - I (tip yr) j -y
PHONE: c—(7 O J 7 U C)g 3 7 FAX: CELL:
CONTRACTOR NAME: 1 l •
.,
MAILING ADDRESS: Q F / Lf l.\) M d. c- I -A .
CITY: M e ,c .Z .— 1 L `k. K- -e STATE: IV ZIP:. 0i l Q Z 2
PHONE: S-(' j (7j 63 0 0 S 3 '") FAX: CELL: .•
CONTRACTOR LICENSE No.: L ii/1 F- 11 XPI
ER S: CITY BUSINESS LICENSE NO.:
DES RIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
1194-ear Off c e.( +' 1 1G Overlay P o s''r,' t'l
TOTAL COST OF PROJECT: $ 7 5.--0-72
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. 5) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature `----\ --'-1(-- -' Date: g ` a t - / y
•
Updated 1-11-11 Page 1 of 1
http://www.spoka nevalley.org/filestorage/124/938/210/948/1496/Reroof_Permit_1-11-11.doc