Loading...
2005, 09-01 Permit App: 05003218 Reroofnw �r Ir'/ Sj UI a� 11707 E Sprague Ave, Suite 106 Permit Center ...•••'* Valley Spokane Valley, WA 99206 .7 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org.com Reroof Construction Permit Application ❑ Commercial IEr sidential SITE ADDRESS ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Buildii ig owner oc,,,sieve_ Address: Name: Phone: ‘2.14-e-7 -z zip: `ill (J l fr ax: Contac rson Name: Phone: Describe the scope of work in detail: Contractor Name: Address: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: 0 Tear off ❑ Overlay Cost of project s DISCLAIMER 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 off res !tin developmT is granted by any issued permit inure to the property owner. Signature Date Method of Payment: (Faxed permit ap: ications will only be accepted with major bankcard) ❑ Cash Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/23/2005