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2010, 07-06 Permit App: 10001994 ReroofPermit Center Spokane 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 wallev` (509)688-0036 FAX: (509)688-0037 www.spokanevalley.orp Community Development Reroof Construction Permit Application 1D-19gqJ PERMIT NUMBER: PERMIT FEE: ❑ Commercial 154 Residential SITE ADDRESS: 4914 E 11 Avc, %aokcztz ASSESSORS PARCEL NO: 35233. 91 g g 942.a Building Owner: Contractor: Name: an 1 Oe m. Vogel Name: Address: qq;q E (pit Ate 4 Address: City: c„O &tit uttei. State: J4 Zip:99112 City: State: Zip: Phone:Sas - ti 3S- (839 Fax: Phone: Fax: Contractor Lic No: Exp Date: Contact Person City Business Lic. No: Name: Phone: Describe the scope of work in detail:�p Tear off Overlay �,�,,B Cunnant meld hal is a. not kw ,nef ueezi umetut if 9100 fa *fit ye nude t t 4u dam, neteaca m,2. s ostotp'oject: $ qr000.0() 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 Method of Payment: ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature:/�> (/�f REVISED names Voy 3/4/1D Date