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2010, 06-04 Permit App: 10001615 Reroof• `-: Permit Center Ukaile 11703E Sprague Ave, Suite B-3 1�Q11 Spokane Valley, WA 99206 Va11ey® (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org Community Development Reroof Construction Permit Application j0--IUm" PERMIT NUMBER: PERMIT FEE: Commercial Residential SITE ADDRESS: ASSESSORS PARCEL NO: Building Owner: Name: letEc]mS Q RtS;CIe►1r� Name: C asTo AA Address: 101 ge.1 City: S i�iA ekeState: 4/A Zip: Phone: Fax: State: jJ Zip: 020 Contact Person Name: 131 , � fJ fl �mo4:9y Phone: Me)? - 6 ( - .21 6-6 Describe the scope of work in detail: Contractor: Name: C asTo AA n eto 1 r hq i 4 C Address: PP.©, i ox 1,,t6 I City: .1T" I,a' State: jJ Zip: 020 Phone: 2/ _ 0.3 - 6 4/4 Fax 2©8 - FQ 3 - 64 ! 9Contractor Lic No: Exp Date: City Business Lic. No: 6 e, 2 - / 2 s' j Tear off y/1 7 -;::AR et Fe 0.400 L,�/ EItS Con `7&�0 ►� �e- .1t 1 I) VIE 1...) g©/ efilk 5;k: Cost of project: $ 2ge a Overlay 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 ri hts granted by any issued permit inure to the property owner. Signature Method of Payment: ❑ Cash [Check ❑ Mastercard ❑ VISA Bankcard #: �, _ Expires: VIN#: Authorized Signature: Date REVISED 8/23/2005