2007, 06-14 Permit App: 07002307 ReroofJUN 15 2007 17:38 FR 9920
ne
P Valleys
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokuncvn 1lev.erg
Reroof Construction
Permit Application
SITE ADDRESS:
51‘12b rD (el u .
PERMIT NUMBER: 2
PERMIT FEE;
[_ Commercial
Residential
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ASSESSORS PARCEL NO: �j S 1, Zl a to 3 o 5
Building Owner:
Name: Ty, C V At1 R f osth iCZS nrt G _
Addrils to E. pian+, m D
City: ,S An K, - State: Zip lc Zpb
Name:/\ \C-
Pt- n -404%-i R
City Business Lii.. No:
Address: t •
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,
Ciry: S 001
Stare: W q-.
Ip:(Nall
Phone: 72) _a,i myi
Fax:
Contact Person
Namc:
Phone: $c'1t_c3.9a `(,c '4
Describe the scope of work in detail:
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tSS
Cost of projec
Contractor:
Name: Ty, C V At1 R f osth iCZS nrt G _
Addrils to E. pian+, m D
City: ,S An K, - State: Zip lc Zpb
Phone: sc,c1 , c tQ _Li(p ca. (v Fax: 9Zg_ is -1 0
Contractor Lic ir,No. Exp Date: . 13 0
City Business Lii.. No:
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The pormitee 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:
❑ Caslt
I3ankcard
❑ Check
Authorized Signature:
REVSED8i23/2005
Date Co I 141 0
Mastercard [E. VISA
VIN#:
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
** TOTAL PAGE.02 **
- JUN 15 2007 17:38 FR 9920
E 11420 MONTGOMERY SPOKANE, WA 99206
Phone: (509) 928-4585
Fax: (509) 928-7570
Fax
t1 rJ ru i u LGUVU
McVay Brothers
To: City of Spokane Valley From: Cathie Applewhite
Fax: 509-688-0037
Date: 06-14-07
Phono: 509-688-0036
Pages: 2
Ro: Building permit (054400 — Antosyn) CC:
❑ urjcnt 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle
•Comments: Attached is an application for a building permit. Please fax us a copy of the permit and
mail the original along with the receipt, Attn: Cathie if you have any questions, please call me @ 928-
4686.
Thank you
Cathie Applewhite
Production Manager
McVay Brothers