2013, 05-30 Permit App: BLD-2013-1010 Tear Off, ReroofSpokane e�
_Valley°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
p e rm i tce n to r(O s o o ka n e v a l l e v. o rq
Project #h/4-2443,/0(0
RECEiVED
(Staff useiOniy)LU1i
PERMIT NUMBER:
L5V Lti IVL'IV It.
PERMIT FEE: « /y3. 7_
I DrJ''
R
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIALt❑ RESIDENTIAL
SITE ADDRESS: 3020 S. MCDONALD SPOKANE VALLEY WA 99216
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: SANDY BOTTJER
ADDRESS:
cm: SPOKANE STATE: WA
zip:99202
PHONE: 838-8633 FAX: 747-8990
CELL:
CONTACT NAME: SPOKANE ROOFING COMPANY
PHONE: 838-8633 FAX: 747-8990 CELL:
CONTRACTOR NAME: SPOKANE ROOFING COMPANY
MAILING ADDRESS: 130 E SPRAGUE AVE
CITY: SPOKANE
STATE: WA ZIP: 99202
PHONE: 838-8633 FAX: 747-8990
CELL:
CONTRACTOR LICENSE No.: SPOKARC96OPAEXPIRES: 08/14 CITY BUSINESS LICENSE NO.: L0443938
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
TEAR OFF AND RE ROOF 28 SO OF ROOFING
TEAR OFF AND RE ROOF 28 SQ OF ROOFING
• Tear Off
TOTAL COST OF PROJECT: $ 6790.00
❑ Overlay
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction 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) The City of
Spokane Valle _permit is not a erm or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information -y bmltted and yebsequently approved before this application can be processed.
Signatur;7 I�/i67�/1/� Date: th3
Method of payment: 0 Cash Check 0 Visa 0 Mastercard
Bankcard #: EXP: 08/14 VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Reroof Construction Permit App
10.28.07.doc