HomeMy WebLinkAbout2008, 01-18 Permit App: 08000171 Tear Off, ReroofPermit Center
Sp"o"kane 11703 E Sprague Ave, Suite B-3
11[11! N,
A Spokane Valley, WA 99206
®� Valley` (509)688-0036 FAX: (509)6' VE D BY
www.spokanevalley.orgCITY OF Sp
Community Development OKANE VALLEY
JAN 1 2008
Reroof Construction
Permit Application
CENTER
PERMIT NUMBER: `l-7'
PERMIT FE
e9
Commercial
Residential
SITE ADDRESS: `.7/76 133
'/4--172S��` C
ASSESSORS PARCEL NO:
g9
Building Owner:
Name:
%y/ 16.#4 EL C_/,‘,/t, frtl
Address: yam AlJ4-pig
p
City:,57:6xNNI- IM e t f' r State: tti
Zip:
Zip: 67 n /.6
Phone:2-g 3 -4-M-53 ,--5Fax:
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Contact Person
Name:
Phone:
Describe the scope of work in detail:
Contractor:
Name: G/4572_1. .70v,iN6
Address: yU() 7 -L Ya.N.5
City: S�011A.tiL- State:
Zip:
Z/ 7
Phone- Fax:
r._5,z)'y67-86 75
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Contractor Lic No: Exp Date:
Cif5 t2*o3q,tc.J
City Business Lic. No:
Tear off roverlay
Cost of project: $ /6/ 310'
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 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.
Date / - 1 '
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005