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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 // 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 O 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 Page 1 of 1 P:\Community Development\Forms\Building forms\Reroof Building Permit App doc 7