2011, 10-28 Permit App 11003433 Re-Roof1V/Z5/ZV11 IZ:4b FAA
Ij 0002/0002
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter(aa sookanevaflev.Prq
(Staff Use Only)
PERMIT NU1 ER: — �' f}S,Z
PERMIT FEE: 1)
REROOF CONSTRUCTION PERMIT APPLICATION
` COMMERCIAL
SITE ADDRESS: "yR- £ Ayc
RESIDENTIAL
ASSESSORS PARCEL NO.:5-3- 3,,b`Z3 LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS: 9�j��—
G>Z�v;4�Lo�.Y.
CITY: �,rs�vac
PHONE: 6—OCI - 5 101S
CONTACT NAME:
FAX:
STATE: I/)A
CELL:
Ca0/1.2
PHONE:
FAX:
CELL:
CONTRACTOR NAME:MCVAY BROTHERS
MAILING ADDRESS:11420 E. MONTGOMERY
CM:SPOKANE
STATE:WA ZIP:99206
PHONE:(509) 928-4686 FAx:(509) 252-2996 cELL:NIA
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 Overlay
TOTAL COST OF PROJECT: $ zia��1
DISCLAIMER
The permitted verifies, acknowIedges 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 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 submittedand subsequently approved before this application can be processed.
Signature &) ft)
Date: /0//1/1/
I l nrial•ar 1 1-1 1 -11
Received Time iOc.t.28.w2011ai12:31PM.n
0. 5 2 (35 ge/124/938/210/948/1496/Reroof Permit_1-11-11.doc
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