2010, 02-18 Permit App: 10000439 Reroof Community Development Department
SCITYOFkadOlille\INIIIIIklIPermit Center (Staff Use Only) )
11703 East Sprague Avenue, Suite 8-3 `�, (/
40000
Spokane Valley, WA 99206 PERMIT NUMBER: `
,�IN1leY Tel: (509) 688-0036 —7
Fax: (509) 688-0037 PERMIT FEE: - !
permitcenter@ispokanevalley.orq
REROOF CONSTRUCTION PERMIT APPLICATION
ffl COMMERCIAL M RESIDENTIAL
SITE ADDRESS:1305 N SUNDERLAND
ASSESSORS PARCEL NO.:45172.0514 LEGAL DESCRIPTION:MIssloN ADD L14 B5
BUILDING OWNER NAME:BRIAN GORRELL
NAME:BRIAN GORRELL
ADDRESS:13412 E 11TH
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHONE:509-688-7105 FAX: CELL:
CONTACT NAME:BRIAN
PHONE:509-688-7105 FAX: CELL:
CONTRACTOR NAME:OWNER
MAILING ADDRESS:13412 E 11TH
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHON E:509-688-7105 FAX: CELL:
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
REPLACE FELTS,VALLEY METAL, BOOTS, DRIP EDGE AND ROOFING
Tear Off Overlay
TOTAL COST OF PROJECT: $900
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 ap- oval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
•�,;
information may be required t be supnd subsequently approved before this application can be processed.
Signature 4/ �/ Date: •2//81020 / 6
Method of payment: ❑ Cash ❑ Check ❑ Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Reroof Construction Permit
App.l.doc