2007, 08-15 Permit App: 07003210 ReroofDame
Permit Center
�T Okaile 11703 E Sprague Ave, Suite B-3
P Va11e Spokane Valley, WA 99206
V° (509)688-0036 FAX: (509)688-0037
J www.spokanevalley.org
Community Development
Reroof Construction
Permit Application
PERMIT NUMBER:1'
PERMIT FEE: °!� `1, '7
n Commercial
Residential
SITE ADDRESS: 7/ LI /or it4 rock_ /4,- 444._
ASSESSORS PARCEL NO:
Building Owner:
Name: 144461 R4
Name: ,A1 Ice
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Address:
7/ LI
jJ /4,ch
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City:
Exp Date: or —D 6
v61l(
State: 06 Zip: �'Ljn32
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Phone:
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Fax:
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Contact Person
Name: 17Lt,t Hablewt
Phone: 2 (a — /zct
Describe the scope of work in detail:
Contractor:
Name: 144461 R4
Address: /6/"Z Z.J./'L
City: v c
State: l.ji Zip: 1Q64,
Phon 9
Fax: 2/0 r
Contractor Lic No:/ jzivA
Exp Date: or —D 6
City Business Lic. No:
❑ Tear off Overlay
Lam` -burl`
Cost of project:
f X' 3 /'k XI
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 rights granted by any issued permit inure to the property owner.
Signature
Method of Payment:
❑ Cash Check ❑ Mastercard ❑ VISA
Date
Bankcard #:
Authorized Signature -
REVISED 8/23/2005
Expires:
VIN#: