2012, 03-28 Permit App: BLd-2012-0251 Tear Off, Reroof Mar, 26. 2012 12: 11PMP` Spokane Valley Permit Centel'epartrnent No.}6885 -P�. !V1
spanakkanw- '`'I r,I.•VV\.LCII {S1'aff X89 O )K)
f • 11703 East Sprague Avenue,Suite B-3 1•
Spokane Valley,WA 99206 PERMIT'NuriaER: ; kd-"4 -.
���''( j eY° Tel: (509) 688-0036
/ Fax: (509)688-0037 pERr:xT rEE: * Z S
Ra�rnitcenter sookaneuaJiev.org
• REROOF C P STRU TI N PERMIT APPLICATION
RESIDENTIAL
SITE ADDRESS: ,J3/3 E. 320e ilii e •,e,,,......, • 1 to - gg46
ASSESSORS PARCEL NO.:1K283— Z LEGAL DESCRIPTION: —
RUILDING OWNER NAME: . Di-'-ru i a (,�P�l, �- y-es .
NAME: I Cl. !L • . ' all. ,ft
_ ' •._ -S
ADDRESS: A-t'.Q
Crrr: t!0 a i • / STATE: //OR- 21P4 (O
PHONE: p -. ;�,,,0 4 ^a l FAX 5e q .14W:0 M CELL: 509. Rl0 97/9'7/
CONTACT NAME: ��'-Ill 7` 1 C1 -
PHONE: . . FAX . Ceti: . . •
CONTRACTOR NAME,
` MAILINOAooRFS9.• • -
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: STATE:• , ,ZIP::
PHONE: •
FAX:
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CONTRACTOR LICENSE No.: EXPIRES: CITY ausrf4ES9 LICENSE NO.:
•D CRIBS THE SCOPE OF WORK ID) DE AIL AND INDICATE USE:
Tear Off ® Overlay '
TOTAL COST OF PROJECT: $ Zi
DXSCLATM
The permitted verities,ecknovrtedges and agrees by their signature that;1)if this permit is for construction or on a dwelling,the dwelling fs/will
be served by potable water, 2)Ownership of this City of Spokane Vary 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) Ali.constructlon 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. b) Plans or additional
Information may be required to be submitted and bsequentiy approved before this application can be processed.
Slgnatur• V,ailisi. / /// fr/ �+ Date: Z
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Updated 1-11-11 Page 1 of 1
nttlx!/ .spc kanevalley.org/f lestorage/124/938/210/948/1496/i eroof permIL1-11-It.doc