2009, 05-27 Permit App: 09001480 Reroof/\ �Petit Center
\ Permit
E Sprague Ave, Smite B-3
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�w77��"" Spokane Valley, WA 99206
�y' (509)688-0036 FAX: (509)688-0037
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Community Development
PERMIT NUMBER:
PERMITFEE:
Reroof Construction ❑ Commercial
Permit Application p L n c / [Z Residential
SITE ADDRESS: /z070%e 8tb/%YeV V�rtANP YA-iiey wg'Rgb6
ASSESSORS PARCEL NO:
Building Owner:
Contractor:
Name' X
Name:
;VP
Address:
P
Address:
City:
State: VA Zip' / /O
City:
State: Zip:
Phone: '�ia
Fax:
Phone:
Fax: 6a/_xw
Contr t o'
Exp Date:
Contact Person
City Business Lie. No:
Name:
Phone:
Describe the scope of work in detail: Tear off ❑ Overlay
Cost of project: $.5500 .
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 resung deve nt ri hts gran d b any issued permit inure to the property owner.
Signature Date
Method of Paym t:
❑ Cash 0 Check ❑ Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 52005
❑ VISA
VIN#: