2013, 12-27 Permit App BLD-2013-2599 ReroofComm nity Development Department
Permit Center (Staff Use Only)
Spciiv eF 11703 East Sprague Avenue, Suite B-3
okane Spokane Valley, WA 99206 PERMIT NUMBER:
,,;oOUalleym Tel: (509) 688 8936—'A0—s�t/o
PERMIT FEE:
Fax: (509) 688-0037
narmitcenter@spokanevallev.o[g
REROOF CONSTRUCTION PERMIT APPLICATION
NJ COMMERCIAL 1101 RESIDENTIAL
SITE ADDRESS 7-111N IV eDt—`iMVM' %LD SF%y.461t: IIALt-6y 'A"4., 99•Z/2
ASSESSORS PARCEL NO.: &ZyG LEGAL /DESCRIPTION:
BUILDING
0VJNCRNAME: ReGO/Zy /VOei2JC
NAME
ADDRESS
CIN '-)J�246A7t t/A'I-LF—)� STATE' lNR ZIP:
PHONE (-&q\r/ �O�G, FAX: CELL: �SCRi %�•CJ'303(a .
CONTACT NAME:
PHONE: FAX: CELL:
CONTRACTOR NAME: AL —rgAbr----, cL,3—T
MAILINGADDRESS:
CITY: STATE: .ZIP:.
PHONE: FAX: CELL'
wNTRACTOR LICENSE NO • ,q i J±r f r✓ q 17n„ EXPIRES' IC;/, /1S CITY BUSINESS LICENSE NOA
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear Off Overlay
TOTAL COST OF PROJECT: $ S00
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 Isqqt a permit or pproval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be re to be sub tted and subsequently approved before this application can be processed.
Signature .7 / Z
Project#
RECEIVED
j LL--L 2 7 2013
CSV PERMIT CENTER
S U B L�—I R E V. » ��
Updated 1-11-11 •—��ege•x•a-t
http://www.spokanevalley.org/fliestorage/124/93B/210/948/1496/P,eroof PermILI-11-il.doc