2013, 05-15 Permit App BLD-2013-0897 Reroof7'i
Sp."'bkape
Valley
Y
❑ COMMERCIAL
Corti t�iuRRy Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: '-'0"688 0036
Fax: (509) 68-0037
11
I Project —i3�847
RECEIVED
RESIDENTIAL
ASSESSORS PARCEL NO.: LEGAL VCbc.rcirIAWImm
BUILDING OWNER NAME:
NAME:
FAX:
CONTACT NAME:
FAX:
E:
MAILING ADDRESS:
Cm:
FAX:
CONTRACTOR LICENSE
DESCRIBE THE SCOPE OF WORK IN D
(Staff Use Only)
l,( VRFERMIT CEN IR
CELL:
CELL:
1)1%3
xl�v
STATE: M )1-1 ZIP::
CEILL. (it
CIfY 6USINEss LICENSE
AND INDICATE USE: (-K
. 91C f
-044
Tear Off LJ Overlay
TOTAL COST OF PROJECT- $ 12 IY 83 —
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 Penult Center. S) The City of
Spokane Valley permit lc not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or addtionai
information may be req i to be submitted and subsequently approved before this application can be processed.
j � n
re
Method of payment:
Date:
Cash �) ❑ C6Ck Q visa REDAercard REDACTED
EffectSve October 28, 2007Page 1 of 1
P:\Community Development\02 Administration\03 Forms 28Of dd� erslons\Permit Center\Reroof Construction Permit App
s
i
7'i
Sp."'bkape
Valley
Y
❑ COMMERCIAL
Corti t�iuRRy Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: '-'0"688 0036
Fax: (509) 68-0037
11
I Project —i3�847
RECEIVED
RESIDENTIAL
ASSESSORS PARCEL NO.: LEGAL VCbc.rcirIAWImm
BUILDING OWNER NAME:
NAME:
FAX:
CONTACT NAME:
FAX:
E:
MAILING ADDRESS:
Cm:
FAX:
CONTRACTOR LICENSE
DESCRIBE THE SCOPE OF WORK IN D
(Staff Use Only)
l,( VRFERMIT CEN IR
CELL:
CELL:
1)1%3
xl�v
STATE: M )1-1 ZIP::
CEILL. (it
CIfY 6USINEss LICENSE
AND INDICATE USE: (-K
. 91C f
-044
Tear Off LJ Overlay
TOTAL COST OF PROJECT- $ 12 IY 83 —
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 Penult Center. S) The City of
Spokane Valley permit lc not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or addtionai
information may be req i to be submitted and subsequently approved before this application can be processed.
j � n
re
Method of payment:
Date:
Cash �) ❑ C6Ck Q visa REDAercard REDACTED
EffectSve October 28, 2007Page 1 of 1
P:\Community Development\02 Administration\03 Forms 28Of dd� erslons\Permit Center\Reroof Construction Permit App
s