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2008, 03-31 Permit App: 08001129 Tear Off, ReroofPermit Center 11703 E Sprague Ave, Suite B-3 Spo°ane Spokane Valley, WA 99206 ®I�Valley' (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Community Development Reroof Construction Permit Application PERMIT NUMBER: / 12.9. IN 5 - PERMIT FEE: (l Commercial residential SITE ADDRESS: /c? 45- , y / " ' ®e /A1744 - ASSESSORS PARCEL NO: Building Owner: Name: Te_C 114. /� Address: l c7Z / 5 /���a I� n , City: S K��t� State: um Zip: 9e Phone: a30 4 c::./u Fax: q e) /,2 Contact Person .I� Name: .�bS /V► .f YYeV Phone: -� a_ff Describe the scope of work in detail I Contractor: � Name: ,blit e v Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Tear off Overlay Cost of project: $ &CO The permitee 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 p. rmit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional infor tion may be quired to be submitted, and subsequently approved before this application can be processed. Ownership of rs ulting devel•:ment is granted by any issued permit inure to the property o er. Date / ©8 Signature Method of ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 ❑ Check ❑ Mastercard ❑ VISA Expires: VIN#: