2014, 08-03 Permit App BLD-2014-1858 Re-RoofSpokane
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@sookanevalley.org
REROOF CONSTRUCTION PERMIT
El COMMERCIAL
SITE ADDRESS:
757
(Staff -Use. Only
_ rht
PERMIT NUMBER:
PERMIT FEEiG 0 4 2014
CSV PERMIT CENTER
4P'LI ON
D RESIDENTIAL
ASSESSORS PARCEL NO.:
LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME:
ADDRESS:
CITY
PHONE:
j<?Qty Aze,,
-Li 1 k&-•
- -9 32',-- lv �-Z� FAX:
CONTACT NAME:
STATE: /4
CELL:
ZIP:
PHONE: J'/I q/- 9 39. - ��,L f^
CONTRACTOR NAME:
FAX:
CELL:
MAILING ADDRESS:
CTiv:
STATE:
ZIP:.
PHONE:
FAX:
CELL:
CONTRACTOR LICENSE Na.:
EXPIRES:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AN
' > �GC �r f 4'G
/'e
INDICATE USE:
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TOTAL COST OF PROJECT: $
Oil
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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 is no permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be requlp d be submitted and subsequent! approved before this application can be processed.
Signature
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Reroof Permit_1-11-11.doc