2008, 11-10 Permit App: 08004445 Reroof Permit Center
Spokane PERMIT NUMBER:
11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206
�Va11ey6 (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
www.spokaneval l ey.org
Community Development
Reroof Construction Commercial
Permit Application JXResidential
SITE ADDRESS: /3/7 3 6-, /G � t.Jj/� Z/ 6
ASSESSORS PARCEL NO:
Building Owner:
IiL /404.1
Contractor:
Name: 30 /✓0SName:/01,_ _/ /l� �of Ackido
Li IC) ,r/Coi/(S1,G 171
Address: /3// Address: //j/
City:5e / Uc),ej State:w� Zip / City: kcne v i State:Q Zip-5),2_06-
Phone: `5-°5.— •915--?2-/‘ Fax: (� Phone:x575_Z14 yo Fax: (7 /
Contractor Lic Noi ftakA E Date: Z_ 7 O
Contact Person City Business Lic.No:
Name: AA'ck /Meatc0(-
Phone: ,.50q- 2./6 -Qqo
Describe the scope of work in detail: Tear off kr Overlay
Cost of project: $ 3000
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 /1-10--Dg
Method of Payment:
1-1 Cash ❑ Check ❑ Mastercard 11:1 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
Effective October 28,2007
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P:\Community Development\Building DivisionUodi-comm'I\PCF\Reroof Building Permit App.doc