2008, 06-25 Permit App: 08002420 Tear Off Re-RoofPermit Center
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Ol�ane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
Valley- (509)688-0036 FAX: (509)688-0037
www.spokanevalleY org
Community Development
Reroof Construction
PERMIT NUMBER:
PERMIT FE j 7
❑ Commercial
Permit Application ❑ Residential
SITE ADDRESS:
ASSESSORS PARCEL NO:
Building Owner:
F7Check
Name:
❑ VISA
Address: g
�h
City:
State: (.� Zip:
Phone: 71LI _ � ,
(I Fax:
Contact Person
Name:7—
Phone: ✓/
Describe the scope of work in detail:
I—ayef— -1C7 'f re_ ^ r0a 1
Cost of f project: $ %S j
Contractor:
Name:
Address:
City: x State: Zip:
Phone: , Cr --� ✓ Fax:
i
Contractor Lic No: Exp Date:
City Business Lic. No:
NTear off ❑ Overlay
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
Method of Payment:
❑ Cash
F7Check
❑ Mastercard
❑ VISA
Bankcard #:
Expires:
VIN#:
Authorized Signature:
REVISED 8/23/2005