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2006, 05-03 Permit Application: 1718 ReroofAPR 24 20E16 14 :52 FR f Permit Center • �fi `r 11707E Sprague Ave, Suite 106 99206 (509)688 -0037 Community Development www,spokanevallev,arg.corn an Vall, WA osof l 0Spok09)68e 8 -0036 ey FAX: Reroof Construction Permit Application SITE ADDRESS TO 9288020 "iv/yri,eS P.O1%01 r # • 7 pp pry © Commercial esidential ASSESSORS PARCEL NO: LEGAL DESCRIPTION: 1'� 'Y d Y.. Y JF + S jyn�,dJ p�e _4 yp fiLl ` v(tv sir,) 'y; �+'! -p�5 r _ Name: 72,-----G/-7/V‘5 k! Name: , / Address; S -.9s-,_s ^ Address: , 3 _S ,07j.....--__s 'CU�ty� -/Z-- P40 Zip: 'P'a 37" I Phone: Fax: Phone: 902g 7A-r/ Fax: Describe the scope of work in detail: = wr :;131;+;'- xY� suTr4�'i3Oy` d o-. lLrr�?t 9' ~r� t r '" - xp �i ` 1i -sl, ss r o a Name: , / ^ Address: , 3 _S ,07j.....--__s City: 5 %//4.birc Zip: / o`�(� Phone: 902g 7A-r/ Fax: Lie No: Exp. Date: City Business Lie No: 'Tear off ❑ Overlay Cost of project �s z DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction of or on a dwelling, the dwelling istwiil be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the propertyowner. 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) 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 addition& information may be required to be submitted, and subsequently approved before this application can be processed. Ownership of resulting development rights granted by an permit inure to the property owner. Signature Date �� ��� Method of Payment: (Faxed permit applications will only be accepted with major- bankcard) ❑ Cash Bankcard #: Authorized Signature: ❑ Check I Ev!SED WZ !2OOs © Mastercard Expires: ❑ VISA ❑ Other VIN #: 1t* TOTAL PAGE.01 _om