2006, 08-01 Permit App 06002965 ReroofPermit Center
Spokane
11707 E Sprague Ave, Suite 106
.,f Valle Spokane Valley, AX 99206
(509)
Y (509)688-0036 FAX: (509)688-0037
Community Development*�*'w'spokanevallev.ore.com
Reroof Construction
PERMI3 NUMBER = � "'
PERMITTEE J E' " •? f
❑ Commercial
Permit Application XResidential
SITE ADDRESS l o4 d E DF S M E T
EVIR OMEi7��-11110ll0i31
LEGAL DESCRIPTION:
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Name: LCV, cCormick
Phone(5,-9) Z8— 9474
Describe the scope of work in detail:
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Cost of project I % a,
Contractor
Name:Pro -r 7t e
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Address: O / 9 Al P/.,v e 5
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city: 5 n kyw c zip:
q9J.1
Phone: 9d-8 -q6 7E Fax:
— 6, $
Lic No: oiA /, Pe ' Exp. Date:
City Business Lic No:
Tear off ❑ Overlay
DISCLAIMER
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 �L )Xcc'& c1,
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash Check ❑ Mastercard
Bankcard #: , Expires:
Authorized Signature:
REVISED 873205
❑ VISA ❑ Other
VIN#: