2010, 10-06 Permit App: 10003269 ReroofcosiOValleys
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.sookanevalley.org
Reroof Construction
Permit Application
PERMIT NUMBER: 5100k
PERMIT FEE: 4W7-75-
Commercial
W7'S
Commercial
Residential
SITE ADDRESS:
2Q6 Ai
ASSESSORS PARCEL NO:
Building Owner:
Contractor:
Nam
�l as 1"12€_S ���^�'c�,e./ey
Name: se (!
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Address:
//�loce�ka
Address: 0205 N • 6a ricer Ec
City:0 7 /e State:WA , /� Zip9?O/co
Gt lti !7
City: State: Zip:
Phone: 9z (o -Z799 2 7 9 9 Fax:
Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person -
City Business Lic. No:
Name:
Phone:
Describe the scope of work in detail:
Tear off p( Overlay
Cost of project: $ Z50b
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 resp ting developm is granted by any issued permitinure to the property owner.
Signature,;
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8232005
❑ Check
tc_
❑ Mastercard
Date / U%� / 0
❑ VISA
Expires: VIN#: