2011, 06-28 Permit App: 11001916 Tear OffCommunity Development Department
Permit Center (Staff Use OnlCITY OF11703y)/�
Spokane Spokane
East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206 PERMIT NUMBER:
OValley Tel: (509) 688-0036 c
b Fax: (509) 688-0037 PERMIT FEE: / J ` 7,
..,;0Perm itcenter(&spokaneva Iley. org
REROOF CONSTRUCTION PERMIT APPLICATION
j COMMERCIAL ` RESIDENTIAL
SITE ADDRESS: I�xi R' / QTS Y1� ii��Q/ ' 1 61 A I e
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
X01. LL! /l. ! ..�.
1 MA
CONTACT NAME:
PHONE:G���'� b ���- J FAX: �CELL: J\
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS: 11420 E. MONTGOMERY
CITY: SPOKANE STATE: WA ZiP:99206
PHONE:(509) 928-4686 FAX:(509) 252-2996 CELL:NJA
CONTRACTOR LICENSE NO.:MCVAYBC346ME EXPIRES:N/A CITY BUSINESS LICENSE
NO.: N/A
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
'Tear Off 4 Overlay
TOTAL COST OF PROJECT: $ ���.
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 permiti n a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be re*rgqtgle y"fitted and subsequently approved before this application can be processed.
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