2007, 09-07 Permit App: 07003537 Tear Off, Reroof Permit Center
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°F 11703 E Sprague Ave SuiBE%EIVED BY PERMIT NUMBER:'7-3
pOkaile Spokane Valley, WA R(PF SPOKANE VALLEY ,53
4.00IF Valley® (509)688-0036 FAX:(509)10370 2001 PERMIT FEE: /0)_ 7�
www.spokanevalley.org JJttrr
Community Development
PERMIT CENTER
BY:
Reroof Construction Commercial
Permit Application Residential
SITE ADDRESS: ,`-,Q:D L 1 3 (l'\ Dp�tAr)v1c A l 1 e w/ •
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name: Name:
C./•j v7 k.` (:1/• .,
Address: ��)/^�'1. ` �k Address: whir ._- j C-`
City: State: Zip City:
c�nn,n( i�nl L State:
Phone: Fax:nbPhone: e, Fax:cNi 019 Li f
Contractor Lic No• Exp Date: Li oCi
Contact Person City Business Lic.No:
Name: ,:),-AT
Phone: c_-5C ' 110' 1 1 1 (
Describe the scope of work in detail: Tear off Overlay
Cost df project: $
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 Date
Method of Payment:
❑ Cash [" heck ❑ Mastercard I I VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005 , ___/