2013, 07-24 Permit App BLD-2013-1450 Re-RoofPermit Center
11703 E Sprague Ave, Suite $ 3
Spokane Valley, WA 99206
.Valley' (S09)6/1g-0036 FAX (509)688-003
www.spokanevaliey.org
CotamuniEy Development
*pone
Reroof Construction
Permit Application
Commercial
Residential
SITE ADDRESS: 1904 s - Fe rkoac:
ASSESSORS PARCEL NO:
Mulcting Ovi oer-
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Nam e:
Address'
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(X A rA rlf
City:
State:
Zip:
Phone:
Fax:
Contact Person
Name: H p 1L 1 v`s
Phone:
Describe the scope ofwork -
'anS"S 0l 4/
Coa£racto=:
Name:
Address
Norris Crark Siding & Roofing
2728E Garland
Spokane, WA99207
482 2883
City:
State:
Zip:
Phone: $ .,,;Z c2,, Fax: 7p 7
Contractor Lic No: Exp Dare: 1 c� —1 to
'11(i{,r2e-IGSa�,
CityBusiness Lic..No:
4Tear U Y(..�
wt.(ln(4 P
Cost of projects $
The permitee verifes. acknowledges and agrees by their signature that 1) if this permit is for construction of or on a
dwelling, the dwelling isiwill 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) Ali 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) This City of Spokane Valley
Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or
additional information may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Signattre
Method of Payment:
�] Cash ❑ Check
Bankcard t _ REDACTED
Authorized Signature:
REVISED 81132005
Date
❑ Mastercard [s-(' VISA
Expire. - V1N#:
RE'bACTED
l ••
This document originally contained confidential credit card
information which was redacted pursuant to RCW 19.255.010
and the original document destroyed pursuant to SOS DAN
GS2014-030.