2007, 08-03 Permit App: 07003038 ReroofSpokane
ValleT
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Reroof Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:') )(-)
Commercial
Residential
SITE ADDRESS:
ASSESSORS PARCEL N
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Building Owner:
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Name: A 1 I S U k .6 R�r%/V -
LL
Name: D'h 1.4nun9
City: Peer. �Vi State: �A Zip:19006
Address: Q .-7 b--, HA r r i 19 011
Contractor Lic No: Exp Date:
AltSUsR9SoAr /o��3c��07
City: 5.,_,..,01c4 �.c 041(aI State:1,
Zip:
Phone. 6 -en -/(94--74e‘/ ( Fax:
Contact Person
Name: R ) d 4 rJJ 60olrn er.` n k
Phone: So, - 69 4
Describe the scope of work in detail:
Contractor:
,,,+
Name: A 1 I S U k .6 R�r%/V -
Address 599 f A4 DA Hen per,/.
City: Peer. �Vi State: �A Zip:19006
Phone:Fax:
509 ..a.76 4410 509 .-az--7sa7
Contractor Lic No: Exp Date:
AltSUsR9SoAr /o��3c��07
City Business Lic. No: (40,2
D s_we pi/
)i Tear off
oJ4- o/ d roo-c No resh JAL s1m // So year -
Overlay
Cost of project: $ z{3oo. --
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.
Signature
Method of Payment:
%Check
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
Date n- '6,-0 .7
❑ Mastercard ❑ VISA
Expires: VIN#: