2010, 10-11 Permit App: 10003317 Tear Off, Reroof• RECEIVED BY
CITY OF SPOKANE VALLEY
OCT 1 1 2010
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Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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PERMIT NUMBER: I\) 33 `1
PERMIT FEE:
REROOF CONSTRUCTION PERMIT APPLICATION
❑ COMMERCIAL ❑� RESIDENTIAL
SITE ADDRESS: 8417 E. Mission
ASSESSORS PARCEL NO.: 45074.9082 LEGAL DESCRIPTION:
BUILDING OWNER NAME: Lonnie L. Cargile
NAME: Lonnie L Cargile
ADDRESS: N. 8012 Espe Rd
carr: Spokane
STATE: Wa
zip:99217
PHONE: FAX:
CELL: 509-981-0783
CONTACT NAME: Lonnie L. Cargile - Homeowner
PHONE: FAX:
CELL: 509-981-0783
CONTRACTOR NAME: Lonnie L. Cargile - Homeowner
MAILING ADDRESS:
CITY: Spokane
STATE: Wa
zip: 99217
PHONE: FAX: CELL: 509-981-0783
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
Complete tear off and reroof at the above address
❑® Tear Off
TOTAL COST OF PROJECT: $ 5000.00
0 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 Valley permit is not a permit or approval for any violation • ederal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsegyentlyd before this application can be processed.
Signature� Date:
Method p ent: ash 0Check El Visa 0 Mastercard
Banks d� EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
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10.28.07.doc