2010, 07-28 Permit App: 10002287 ReroofSpokane
Walley.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)68S-0037
www.spokanevallcy.org
Reroof Construction
Permit Application
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PERMIT NUMBER:
PERMIT FEE:
Commercial
Residential
SITE ADDRESS:
N,
ASSESSORS PARCEL NO:
N6 -t&-? 0A-2 Keg Q7 .
420
Building Owner:
Describe
Contractor:
Name: 3IKh4 I03)322-. CP' 590<RISA
Name: PiC.H @ FecO PLUS V)Ci leAl
Address:
Address: 1 `i ab N t3 wz KiV2 izn
City: ,Spf:d4Acc,UP,UE v Stati%A Zip:
City: State: Zip:
Phone: Fax:
(ssc<<) sq' 2– 57,99
Phone: Fax:
Exyy Date
Contractor Lic No::&.O cc 'G
.r YL Z
Contact Person
City Business Lie. No:
Name:
12)(`li e F-,pC(l iJI.iS\
Phone: ((Taa) [ 5(1 – Lnis (,,s—
)-
toe. 1 �71n .3 /i�,'Z
Describe the scope of work in detail:
""f -a nPr SI*F'< i IA) 92;r0J7(2
( 1 -OUST) Li 3 yl e a
ost of project: $
2
LJ
Tear off igOverlay
3e tiQ KVX-t-retrerrt,An__.
The permitee verifies, acknowledges and agrees by their signature that: t) If this permit is for construction of or on a
dwelling, the dwelling is/will be sewed 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) 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.
Signature
Method of Payment:
JO Cash
Bankcard #:
Authorized Signature:
REVISED 0/232005
n Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#: