2012, 10-02 Permit App: BLD-2012-1710 Tear Off, ReroofSpokanawste
Valley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter@ spo ka neva l ley. o rq
j zoi2- V7fb
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL
SITE ADDRESS: 18418 E. Boone
RESIDENTIAL
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: David Powell
ADDRESS: 18418 E. Boone
clrr: Rathdrum
STATE: id
zip83858
PHONE: 509-216-7678 FAX: CELL:
CONTACT NAME: Crump Roofing
PHONE: 509-216-7678 FAX: CELL:
CONTRACTOR NAME: Crump Roofing
MAILING ADDRESS: 11533 Idaho road
Crrv: Rathdrum
STATE: id zip: 83858
PHONE: 509-216-7678 FAX:
CONTRACTOR LICENSE No.: CRUMPRL932KA EXPIRES: 5/1/2013
CELL:
CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Tear off existing layers of shingles, resheet roof, reroof back with asphalt shingles
Tear off existing layers of shingles, resheet roof, reroof back with asphalt shingles
❑� Tear Off
TOTAL COST OF PROJECT: $ 7000
0 Overlay
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or an 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) The 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.
Signature Date:
Method of payment: 0 Cash 0 Check
Bankcard #:
ID Visa 0 Mastercard
Exp: 5/1/2013 VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
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10.28.07.doc