2008, 10-13 Permit App: 08004050 ReroofPermit Center
ST7,.O
_��`` e 11703 E Sprague Ave, Suite B-3
�Y l�[Ldl7' Spokane Valley, WA 99206
VAlley` (509)688-0036 FAX: (509)688-0037
permi tcenter(2D,spokaneval lev.or R
Community Development
Reroof Construction
Permit Application
PERMIT NUMBER: Y. gOjtj
PERMIT FEE: 1 3 2 -7 s
S
❑ Commercial
Residential
SITE ADDRESS: r /02/0 13 rcociway
ASSESSORS PARCEL NO:
Building Owner: - _ -
Contractor: -
Name: 511_ e V e � CA r ks
Name:
Address:Address:
f' /C)- (O 6 rerAcury
City: Celca..e State: kJ iA Zip.cy7a_
City: State: Zip:
Phone:Fax:
Sal -77.20
Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person
City Business Lic. No:
Name: Bo yin c..rkr
Phone: a ((o - 7 55
Describe the scope of work in detail:
Tear off ❑ Overlay
Cost of project: $ 1 Soo
r
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) AH 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 re;tiltlRg development rights granted by any issued permit inure to the property owner.
Signature
Method of Paymjt:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Date /0
Effective October 28, 2007
Page 1 of 1
P:\Community Development\Building Division\Jodi-comm I\PCF\Reroo( Building Permit App.doc
/3-6,e