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2007, 02-02 Permit App: 07000322 ReroofCommunity Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Reroof Construction Permit Application PERMIT NUMBER: ( :TL PERMIT FEE: / C/) 7 c n Commercial Residential SITE ADDRESS: 5 (� i t 127 A -Lto ASSESSORS PARCEL NO: :. S -7 Li- ,Z1 o5 Building Owner: -'1 v 6 ejut, e 4Ni Name: Piv6 &.A// 1 /tAko Name: Address: 5, j AiH Ff' !it- 1 City. DQ(t 4 Otter State: 1j� Zip: ggz40 "'f� Phone: _J43 .. 0 „to--) Fax: City: Contact Person Name: //>Vt: Ctrl ELA-A 0 Phone: 3 - G► 4C77 Contractor: ()C j ^ i rT Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Describe the scope of work in detail: Tear off n Overlay -le/i-nc FF et(St1/JE1 MvVf--ri3Srl r — AP✓cr IIL:. $HLEL rPPLT PVC/ "kOi fnoo f IlcI✓/1Z- flair SEN i S - F : v►n i /ft - )‘,15- Mu— - 3 1716 5i-1 U61 -r_ Cost of project: $ 35 00 The permitee verges, 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: ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 ❑ Check Date `Z/© % ❑ Mastercard El VISA Expires: VIN#: