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2006, 11-27 Permit App: 06004637 Reroof Permit Center S Ak ne 11707 E Sprague Ave, Suite 106 PERM" BER A Spokane Valley,WA 99206 PR1VIiF � �S Valley (509)688-0036 FAX: (509)688-0037 �� , f Community Development w ww'.spokanevalley.orQ.com Reroof Construction ❑ Commercial Permit Application iCResidential SITE ADDRESS O E ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Bud><n owner =Contractor . . Name: gill O ►` Name: 1 L- 6 Address: bS U ►'j r P S )e Address: 9 (`� ,t9 C� K 2 3� � 5 City: lj 1 ti ' W W(e Zip: qq 7 0-6, City: ljPe)de-`i Zip: 7f ' I Phone: q 7_ O 9 1 Z 8 6 Fax: Phone: /3 6 .6E5�-4 Fax: 7 F, eq6 Lic No: OO !C ) L Exp.Date: :Contact Pers ii �. E, � 3 2 o- �a N .� � �°'u �.�1� .t,��. �._���'�, � City Business LIC NO: ,� © � 4.1 Name:11'1/e ' t ti I Ct �J Phone: ? -- 6 Describe the scope of work in detail: 0 Tear off KOverlay � y 04' Cost of project $ 3 Z DISCLAIMER 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 / ( / 7 /C C' Method of Pa ent: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash Check ❑ Mastercard ❑ VISA ❑ Other Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/23/2005