2009, 08-24 Permit App: 09002660 Re-RoofAAL Permit Center
Spol�ane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
,;oOValley- (509)688-0036 FAX: (509)688-0037
www.spokanevalley.or;
Community Development
Reroof Construction
PERMIT ER: 2
PERMIT FEE: S
❑ Commercial
Permit Application � Residential
SITE ADDRESS: / Q�� / rj l(f-y cJr'
ASSESSORS PARCEL NO:
Building Owner:
[Check
Name: •--
Name:
Address
Address:da�
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State: Zip�r
State: /, Zip:
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Fax:
Contact Person
Name: A �
Phone:
Contractor:
[Check
Name: •--
E]VISA
Address
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State: Zip�r
Phone—t-
ax:
Contract r Lic No: _
xp Date: '(
City Business c. N
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Describe the scope of work in detail: ❑ Tear off [overlay
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Cost of p oject: $ �Q� a—
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.
Signature4��4WDate
Method of Payment:
❑ Cash
[Check
F-1Mastercard
E]VISA
Bankcard #:
Expires:
VIN#:
Authorized Signature:
REVISED 6/23/2005