2007, 07-25 Permit App: 07002876 ReroofSpokane
,Malley
Community Development
Pennit Center
11703 E Sprague Ave. Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
ley.org
Reroof Construction
Permit Application
❑ Commercial
Residential
SITE ADDRESS:
ASSESSORS PARCEL NO:
Building Owner: .5"--- S/49 / 6o�O9
Contractor: /`/ait/7/ /moi //r
GL
Name:
Name:' -7->" 4� // �
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Address: /707 /�/ �� Z/y
V�egs
Address: /06) sox 7.3
State: Zip:
City: 6ie��
City: v izee- State• j , Zip:7j0p�4
Phone: Fax:
Phone Fax:
Contractor Lie No:/0a342/.23 Exp Date: 0.9,....77_74,
Contact Person /
City Business Lic. No:
�/
A07573-72Phone
Name: / tC
`1 — d7.77
Describe the scope of work in detail: ❑ Tear off Overlay
/2s /ZGrrc DYE E/ill at?,
7ff75 `t//CL WE r
Cost of project: $ 3/30
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 resulting development rights granted by any issued permit inure to the property owner.
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8(23/2005
/Check
0 Mastercard
Expires:
Date
❑ VISA
VIN#: