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2012, 03-02 Permit App: BLD-2012-0096 ReroofPermit Center Spliane 11703 E Sprague Ave, Suite 13-3 Spokane Valley, WA 99206 4000Valley- (509)688-0036 FAX (509)688-0037 www.spokaneval ley.org Community Development Reroof Construction Permit Application 17E99'4 Wg6:6 06 '6 "NIj PA! .14_0 - 20/ 2 - 0 (99 PERMIT NUMBER: PERMIT FEE: 5 - Commercial 15—C Residential SITE ADDRESS: 0 AP AOLOOL£i.Seolicave Vait y ci a_D(p ASSESSORS PARCEL NO: Building Owner: , ,--- Name: ..-•- h._ 0 ..cie Address'/2 / • A) . .7o (&4 di-e.z_Vte: % _C21:...tricatZ, Phone: 99:5%, 4.---7,76 F : Contact Pe Name: Phone: oree4-12,‘ Describe the scope of work in detnil: ,e=r7r. cejear off ri Overlay Cost of project: $ 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 *able 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) Alf 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. Signature Method of Payment: Cash Bankcard #: Authorized Signature: REV1SED £1123/2005 Check 1,•d CZ8Z3817609 Mastercard Expires: Date VISA VIN#: >inn SIJJOIA1 d00:7(1 71 7 Contractor: .. ._ . Morris Clark Siding Be Roofing Name: 2728 E. Garland Spokane, WA 99207 Address: 482-28.33 City: State: Zip: Phone: ,(;2 _Q2 op?? Fax:.7:4.7_,..5-:=2 722 Contractor Lic No: Exp Date: TY1 6: ge, I eS0 Ca:.2-leA City Business Lic. No: cejear off ri Overlay Cost of project: $ 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 *able 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) Alf 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. Signature Method of Payment: Cash Bankcard #: Authorized Signature: REV1SED £1123/2005 Check 1,•d CZ8Z3817609 Mastercard Expires: Date VISA VIN#: >inn SIJJOIA1 d00:7(1 71 7