2007, 05-21 Permit App: 07001882 Tear Off, Reroof1'f� Permit Center
po�/kane \`� 11703 E Sprague A r----) Suite l -- Li w E
Y Spokane Valley, WAJ99206 V LS
coses,Valley. (509)688-0036 FAXl609)688-0037
www.spokanevallev.org MAY 2,
Community Development D\
Reroof Construction
Permit Application
PERMIT NUMBER: ISabl
PERMIT FEE: C-1;?—T___
❑ Commercial
Residential
SITE ADDRESS: 1404 E.AAx111 t• (21.."a 'JJ.1,4)A 1'12o(0
ASSESSORS PARCEL NO:
Building Owncr.. ,., � _ �
:Contractor:,•,'•',.,
Name: Stn�G�
aHe .�•.
Name: A/ IA
Address: c\ y O.11 r ,n c 4
P ta•
Address:
City:11 State: Zip:,20.0
SBS a..t v )1e I") �1 I� Ofo
City: State: Zip:
Fax: N.) its,
Phone: S-oq cal 0153,.
Phone: Fax:
Contractor Lic No: Exp Date:
Contact Pers/on ;-
City Business Lic. No:
Name: 2.7cc,* ?a„..6
Phone: Ste . B 92-.. t.8 (0 1 N A'oot . aro. LS3o C
Describe the scope of wo k in detail:
oc� \ i s-v.I.,
Ttw( dfiD \Pit /$ w V a
Tear of Overlay
-td a�00 O.0 I��e� 4
Ce Ina Vos:\9 51..•.. t' Jnot:�``
Cost of project: $ y00
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 resulti d eloprpent rights granted by any issued permit inure to the property owner.
Signature
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Mastercard
Expires:
Date
512 /o7
VISA
VIN#: