2009, 09-23 Permit App: 09003069 Re-Roof •
Community Development Department
Permit Center (Staff Use Onl )
O 11703 East Sprague Avenue, Suite 6-3 n /�SC1TYpokane Spokane Valley, WA 99206 PERMIT NUMBER: / D I
Valley. Tel: (509) 688-0036
Fax: (509) 688 0037 PERMIT FEE: 7. 7)
4000
permitcenter@spokanevallev.orq
REROOF CONSTRUCTION PERMIT APPLICATION
COMMERCIAL S RESIDENTIAL
SITE ADDRESS:10113 E. 19TH SPOKANE VALLEY 99206
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:CRAIG SCHAFER
NAME:CRAIG SCHAFERR
ADDRESS:10113 E. 19TH
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PHONE:509-534-3970 FAX: cELL:509-263-8500
CONTACT NAME:
PHONE:509-534-3970 FAX: CELL:509-263-8500
CONTRACTOR NAME:
MAILING ADDRESS:10113 E. 19TH
CITY:SPOKANE VALLEY STATE:WA ZIP:99206
PH0NE:509-5343970 FAX: CELL:509-263-8500
CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
REMOVAL OF CEDAR SHAKE SHINGLES AND APPLY ICE GUARD, TAR PAPER, FLASHING,VENTING AND DIMENSIONAL
SHINGLES
Eg Tear Off ❑ Overlay
TOTAL COST OF PROJECT: $3000
DISCLAIMER
The permitted verifies,acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 submitteter nd subsequ-ntly approved before this application can be processed.
er„,.._
Signature i— Date:09/23/09
Method of payment: ❑ Cash ❑ Check Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
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