2007, 05-30 Permit App: 07001993 Reroof,'A Permit Center
SpOkarie 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
Valler (509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Community Development MAY 2 2007
Reroof Construction
Permit Application
PERMIT NUMBER: 'CATz)
PERMIT FEE: 7 .71% --
Commercial -1
Commercial
154 Residential
SITE ADDRESS: /0/41 —JO /2 5' /U O
ASSESSORS PARCEL NO:
d
Building Owner:
Name:
',metric a/ W! )f, ye- Z
/� t
Address: lea -/02 S'. £ 6 ‘ h //e0/
City: C K Ver//t, State: wai
Zip:
Fax:
Phone.S 3y
9T5
Contact Person
Name: , r.r Y - ve /M' gayLtaPe
Phone:
Contractor:
Name: /how /vac tit r'
Address:
G y j, Deet J 1' j
_5-6,
City:Af /?e mde fits tate: l.a0
Zip 0626
Phone :ct30of6y Fax
Contractor Lic No: evrAxp Date:
/ 0 e,
City Business Lic. No:
Describe the scope 9f work in detail: 1)4 Tear off
eur >t-� ( //,4 / J 9 /2 r (/ ‘f k 3 i66
Overlay
Cost of project: $ /3 706
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 resulting development ri• hts granted by any issued permit inure to the property owner.
Signature
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Date 5/x/7
REVISED 8/23/2005