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HomeMy WebLinkAbout2006, 08-28 Permit App: 06003425 ReroofISpekane� Walley Community Development Permit Center 11707 E Sprague Ave, Suite? Spokane Valley, WA 99206 (509)688-0036 FAX: (509)6 www.spokaneval lev.ore. com Reroof Construction Permit Application SITE ADDRESS ASSESSORS PARCEL NO: LEGAL DESCRIPTION: /0 0 D D ECEIIVF AUG 2 8.2006 7 EERNfITNUMBER:,y 'L:_ `:PERMITEEE LJ 11 L ©u [nf1 t3 -Commercial G—R€S(dential - a.7x� -_ sem+.. _ � ��•;s Buildm owner = Me BERIMErAIMM City: • ! ' I Zip: 9 ge Phone: e .,, - O980 Fax: Contects.+. ersoner' =Contact�Persons=�.�F Name: Phone: • „,O:t: - = '- _=' --FContractor *: .,. :., :r..:...Wit,.-•- Name: 0 (�j%-PIC Address:/ City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: Describe the scope of work in detail: �II ❑ Tear off 6-Csf rlay � 1 �, n �.X i sT i n ir- ��Loa F /c/� I `/�Gl l/ Ann E io�r-- rR frno%i 10-- �i /A`li!Gi f�gn-C/�Pd(401-r6, Cost of project c /3-00 •ocD DISCLAIMER The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of cion 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 r s Icing develo ment-rights granted by any issued permit inure to the property owner Signature Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Expires: VIN#: ❑ Other Authorized Signature: REVISED 823)2005