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2014, 06-30 Permit App BLD-2014-1538 Re-RoofSpokane jUalleys Community Development Department Permit Center, 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-9G €-- 1. 4 —5 VO Fax: (509) 688-0037 oermitcenter@sooka neva llev.oro (Staff Use Only) PERMIT NUMBER: PERMIT FEE: REROOF CONSTRUCTION PERMIT APPLICATION COMMERCIAL SITE ADDRESS: g((p ASSESSORS PARCEL NO.: RESIDENTIAL e0112axt LEGAL DESCRIPTION: BUILDING OWNER NAME: NAME: vtrP Ual� •JUN 3 0 2014 ADDRESS: �gl. l(/ N) ' eV. le/01-4A) CITY: STATE: ZIP: HERMIT CENTER PHONE: Fax: CELL: CONTACT NAME: REV.# PHONE: FAX: CELL: CONTRACTOR NAME: ©/ MAILING ADDRESS: • CITY: PHONE: STATE: .ZIP:. FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 11ea ( off( re 1(4/(1 o(oO? Tear Off r� TOTAL COST OF PROJECT: $ oGO0 , Ei Overlay 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) AII•construction is to be done in full compliance with the City of Spokane Valley Development de., Referenced codes available for review at the City of Spokane Valley Permit Center. 5). The City of Spokane Valley permit is n pe it or approval f an violption of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be regt}h t T pitted an ybse en approved bb fore this application can be processed. Sig natur Date: .1-,13014 Updated 1-11-11 • Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/ReroofPermit 1-11-11.doc