2007, 05-15 Permit App: 07001756 Reroof n ,'A� Permit Center
7-i
S i OF= PERMIT NUMBER:11703 E Sprague Ave,Suite B-3
Y Spokane Valley,WA 99206 PERMIT FEE: —1
410 Valley® (509)688-0036 FAX:(509)688-0037 11
www.spokanevalley.org
Community Development
Reroof Construction Commercial
Permit Application RResidential
SITE ADDRESS: ) i S E
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name: k V an Le Lt. Vn Name: ��VC�11e'e-d ocii nq T L no1o3ie5
Address: 3 5 , s V Address: k0 4 C 1 C
City: 5 p O (AjState: Zip: City: lJ State: 14
Zip:194v
Phone: Fax: Phone: 4 4 D— G a 3D Fax. q 8 _ (41 1
Contractor Lic No:4DViti TooxoIIc�_DF- WO/ ?
Contact Person City Business Lic.No: („00Q o I r7 3� 3
Name:
Phone:
Describe the scope of work in detail: Tear off Overlay
pa tr-f +ear c7 -F a-- rz.-- ro o-f
Cost of project: $ ,3 lac. 0-u
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 development rights granted by any issued permit inure to the property owner.
Signature � � 1 w43 Date S./)S J o I
Method of Payment:
❑ Cash (Check Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005