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2008, 08-05 Permit App: 08003040 Tear Off, Reroof
Permit Center *Rime 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: 50q Spokane Valley,WA 99206 PERMIT FEj` alleY� (509)688-0036 FAX: (509)688-0037 I wvvv..spokanevalley.org Community Development Reroof Construction n Commercial Permit Application Residential SITE ADDRESS: ' von E a g t" ASSESSORS PARCEL NO: Building Owner: Contractor: (� Name: J4 `-/J.Q P/ Name 1j 1'C 460_ 3_100.ifl 1V�rmr�rt � I L Address: )©,` � ? t-h � Address:(196-/ ,/ n QJ City O State: Zip: 9.92,k City: Dter(Y / /Y State:• Zi Phone. So9 �/- i�� rFax: Phone:571-7,3-76,6 "3 Fax: Contractor Lic No: Exp Date: Contact Person 4i u tti elsvgr • • /c?-30--09 City Business Lic.No: (4 e? ,S 4/6 -iS i 6-736/o 9 Name: Phone: Describe the scope of work in detail: IATear offOverlay —r ,- D# old r off' C> n c% �t� ate, /),��j ra Cost of project: $ c/ do, — 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 yo,L, Date g_ --O Method of Payment: ❑ Cash Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: Effective October 28,2007 Page 1 of 1 P:\Community Development\Forms\Building forms\Reroof Building Permit App.doc