2009, 07-28 Permit App: 09002299 ReroofRECEIVED 07/28/2009 11:07 5096880037 SV PERMIT CENTERFR
JUL 28 2009 12:21 FR 9920 5099287570 TO 6880037 P.02/03
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
pgrmitcente:res nevaIlev.ey4
(Staff Use On Y)r.
PERMIT NUMBFhR'_
PERMIT FEE: ''" 1 L t 1 2—
REROOF CONSTRUCTION PERMIT APPLICATION
0 COMMERCIAL kI RESIDENTIAL
SITE ADDRESS:309 S UNION SPOKANE VALLEY WA 99206
LEGAL DESCRIPTION:
ASSESSORS PARCEL NO.:
BUILDING OWNER NAME:
N AM(:CAROL PETERSON
AooREss:309 S UNION,
Cm:SPOKANE VALLEY
Zia:99206
P HoNE:251-3404
corf'TACT NAMe:JEREMY MUNSEN
PMONe:509-928-4686
CONTRACTOR NAME:MCVAY BROTHERS
FAX:
STATE:WA
CELL:
FAx;509-928-7570 CELL:
MAILING ADDRESS:11420 E MONTGOMERY
Cann SPOKANE VALLEY
ZIP:98206
STATE:WA
PNONe:509-928-4886
CONTRACTOR LICENSE No.:MCVAYBC346ME
NO.:
FAx:509-928-7570 cEW
gaPiREs:01/11 CITY BUSINESS LICENSE
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
'FEAR OFF, RESHEET AND INSTALL 16 SO ROOFING
® Tear Off Overlay
TOTAL COST OF PROJECT: $3600.00
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or an 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 slgnatOry is the property
owner or has permission to represent the property owner In this transaction. 4) All constru tion Is to be done In full Compnance with the CIty of
Spokane Valley Development code. Referenced codes are available for review at the CIty of Spokane Notley 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
Method of payment: ❑ Cash ❑ Check
Date:
® Visa ❑ Mastercard
Effective October 28, 2007 Page 1 of 2
http://www,spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/Remof Construction Permit
App,l.doc