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2007, 04-27 Permit App: 07001492 Reroof
Permit Center 7—/V9 9 • Spokane 11707E Sprague Ave, Suite 106 PERI+✓II NI3ERr r .0 • Valle Spokane Valley,WA 99206 Y (509}688-0036 FAX: (509)688-0037 - Community Development w w'ww.spokanevalley.org.co n Reroof Construction 0 Commercial Permit Application 0Residential SITE ADDRESS I CouOL1 . VJE X 2,5LQ.(c ASSESSORS PARCEL NO: LEGAL DESCRIPTION: LAIj[�In AV3'nel'. : � _.o . . . ., �. i . tom_ _ _._,_. .- _ .�.,,:... F.__ .. � L, lltl'ac�01' _ . . _ _ Name: lo<t.2 jt� `� �(�,.\ � 1 � Name: Address: WCk \.Je1 c `„""1 Address: City: 40VANZ_VOL4Zip: (" a-\ (42 City: Zip: I Phone: (-,e9 \ '-2S9 4Fax: Phone: Fax: Lic No: Exp.Date: 0111- ct Person _ LLf.,� ' ' : - ... .K-.S _, City Business Lic No: Name: .._ . ._. _ ` '-1 t . Phone: —2��- Describe the scope of work in detail: Tear off 0 Overlay -- e ©i` 2 o1A. 1 oYo, ems.. -c Cost of project s °- 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 r suiting development rights granted by any issued permit inure to the property owner. l Signature �) U Date �% �7U-? 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