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2009, 07-28 Permit App: 09002313 Tear Off, Reroof Community Development Department bakPermit Center (Staff Use Only) S11703 East Sprague Avenue, Suite B-3 ane Spokane Valley, WA 99206PERMIT NUMBER: 2j�� galley h Tel: (509) 688-0036 %,(Z--17 S Fax: (509) 688-0037 PERMIT FEE: 4i0 permitcenter©sookanevallev.orq REROOF CONSTRUCTION PERMIT APPLICATION El COMMERCIAL ei RESIDENTIAL SITE ADDRESS:11124 E. SPRINGFIELD RD ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: BUILDING OWNER NAME:MARCUS&MARTIE EVELAND NAME:MARCUS&MARTIE EVELAND ADDRE55:11124 E. SPRINGFIELD RD CITY:SPOKANE VALLEY STATE:WA ZIp:99206 PHONE:509-928-1170 Fax:509-533-6883 CELL:509-879-1717 CONTACT NAME:MARCUS&MARTIE EVELAND PHONE:509-928-1170 Fax:509-533-6883 CELL:509-879-1717 CONTRACTOR NAME:N/A MAILING ADDRESS: CITY: STATE: ZIP: PHONE: FAX: CELL: CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: TEAR OFF EXISTING ROOFS,AND REROOF WITH 30 YR LAMINATED SHINGLES Tear Off fl Overlay TOTAL COST OF PROJECT: $2620.80 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 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. Signature (D/eil) -7Date:07/28/09 Method of payment: ❑ Cash ❑ Check ❑ Visa ❑ Mastercard Bankcard #: EXP: VIN#: Authorized Signature: Effective October 28, 2007 Page 1 of 1 C:\Documents and Settings\Marty\My Documents\Martie\Reroof Construction Permit App.1-1.doc