2008, 03-05 Permit App: 08000734 ReroofPermit Center
SPanOm >,� 11a "a 11703 E Sprague Ave, Suite B-3
p 11[1Spokane Valley, WA 99206
Vdlle (509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore
Community Development
Reroof Construction
Permit Application
PERMIT NUMBER: Li251
PERMIT FEE:
Commercial
Residential
SITE ADDRESS: S a �� B yr s
ASSESSORS PARCEL NO:
Building Owner: --- _=_ - - - -_ --- ,--
Contractor: •-"-___�_='_ _- c) (V/ :117-- _ ____
Name:
Name:Ir01\.)1 SCR100A
^
Address: as/ I Bpi "W 4 ta0
Address: -
Citr )),(liau c j fri t State: t:ja Zip: ?tpd a
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City: State: Zip:
Phone/ 9076 _c ---L 6 w Fax:
Phone: Fax:
Contractor Lic No: Exp Date:
Person _-�-
City Business Lic. No:
LContact
c07-; {
�l,/i
Name: .W 5 (3 c
Phone: 9a(o — C66 7
Describe the scope of work in detail:
00 )14.AY(11-
ear off
Overlay
fg-"co 6 (ttWi2
Cost of project: $ $ )-7
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The pemtitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of 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) 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 development rights granted by any issued permit inure to the property owner.
Signature
Method of Payment: �i
❑ Cash / �( Check ❑ Mastercard EI VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Date 1,57
Effective October 28, 2007
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