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2006, 09-19 Permit App: 06003761 Reroof Permit Center �� Spokane 11707 E Sprague Ave, Suite 106 PERMIZNU;i ER ,�- Valle Spokane Valley,FW A 99206 PEIt*TFF ."5,�� .� r Y (509)688-0036 AX: (509)688-0037 �' � �� Community Development www.spokanevalley.ora.com Reroof Construction 0 Commercial Permit Application 0 Residential SITE ADDRESS / �_ 7/ , 5�ICIV72 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Ae.5e Buil(1ing owner F _ ` ' = _ _. _ .. Conitractor_, . Name: /S 40/7„,50, Name: /76Z/ fia'a'/`uy Address: /*,y"j/ ,C 5-Aa p Address: C{/i/9/ M(zl, ,t f'vol City. 6,,,e 14' Zip: City:.;1:y Zip: y9,VQ 5 opi t6 o� / Phone/ �-�-2 54/ Fax: c 4-yyv� � Phone:�a Fax: —07935 �935 /' Lic No: fro la're©72vs'Exp.Date: Contae1 Perso % -1 aMm -0. _ ' -.A. 5 City Business Lic No: Name: /7/46.p (.L,' Phone: c:=1Z` ' Z 3 y Describe the scope of work in detail: Tear off 0 Overlay yi— �j P rce ,5.A i 1/rs' Cost of project tcoeo,dser 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 of resulting velopment rights granted by any issued permit inure to the property owner. Signature aL 1LI Date gltiVoto Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/23/2005