2009, 04-23 Permit App: 09001073 Tear Off, Reroof Permit Center (� 73
Spokane 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206 7S-
PERMIT FEE:
��a11e (509)688-0036 FAX: (509)688-0037 � 7
www.spokanevalley.org
Community Development
Reroof Construction Commercial
Permit Application Residential
?er SITE ADDRESS: S V C LAS AU E
I
ASSESSORS PARCEL NO:
Building Owner: Contractor:
Name: bAA E LvcA5 Name: kw St '(>. In
mo
J
Address: I G�1� E 2-50)2-50) A' Address:
City: C JState: \ Zip: Cc City: State: Zip:
Phone: CI c Scp!� Fax: Phone: Fax:
1 \ Contractor Lic No:Ivuzgy6tEExp Date:
Contact Person City Business Lic.No:
Name: I L' 3
Phone: 9u -S94Z.
Describe the scope of work in detail: ar off Overlay
cam- pAf RC `R 3cD PAE,(:=0 , Q rt Ac l
Cost of project: $ rizoo.F3r/5
•
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 p-�mit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or
additional inform-lion may be required to be submitted, and subsequently approved before this application can be
processed.
Ownership of res ing de Ion', ' t rights granted by any issued permit inure to the property owner.
signature I
Allate 2V-2.3kG
Method of Payment:
❑ Cash It, Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 823/2005