2007, 03-08 Permit App: 07000731 ReroofP r Permit Center
S akane 11707 E Sprague Ave, Suite 106
co��1 Spokane Valley WA 99206 2
a11eY (509)688-0036! PAX L(50g688==037� LS
Community Development www.spokaneya11bv.or�.com
Reroof Construction U MAR 03 2007
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Permit Application 0) JJ 11 L E 11 �f
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PERMIT NC1MBEii {
WPERIvIIT FEE
❑ Commercial
Residential
SITE ADDRESS • Q &. &Q,41/0
1 /0
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
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Name: 4-0.--r 10 u S V1 -r
Phone: 9o16- gSc?s
Describe the scope of work in detail:
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Cost of project
Contractor.: .,..
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Name: 6 /011(1 CZ, FY) OAP 1--r1�
Address: 0i(S E� Ca. IQ(do
' Zip: 1 gal02
city: cO0k2vt2 Lkd e
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Phone: 996-.55a 5 Fax:
£outact iers
cc
Name: 4-0.--r 10 u S V1 -r
Phone: 9o16- gSc?s
Describe the scope of work in detail:
Re -41001/C_ 0,e2-4 tvi& roc)
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Cost of project
Contractor.: .,..
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Name:
Address:
City:
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Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
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DISCLAIMER
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 ofsuiting development rights granted by any issued permit inure to the property owner.
Signature
Date J- " /
Method of Payment: (Faxed permitapplications will only be accepted with major bankcard)
❑ Cash 71 Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8232005