2008, 05-14 Permit App 08001810 ReroofMay 13 08 05:40p Lang
509-532-0893 p.2
I 5320693 P.01iO3
F=Trit Center 69
•a •=
lo-
Spokane206
• r t(509)6"37'.cr::n.'rris.�s_ia �if1AF"'Y �'�:'f • ji:r
Reroof Construction ■ Commercial
Permit Application ❑ Residential
srrE ADDRESS ip�
ASSESSORS PARCEL NO:
LEGAL DESCPV'nON:
Tr^^,.) r -r . r •-fit 4 <�d std sic �,�� a� is :�:. �'x°��•;;%�.r oil]
wMe of work is detail:
Cost of project I s �;•
Tear off Q Overlay
D19CLMMER
The pernRse verifies, acknowledges and agrees by thsir slgnatOre that: 1) if this permit is for construction of or on a
dwelilrg, the ch"Itfng ts/will be served by potable water. 2) Dwnershlp of this City of Spokane Valley Permit inure to the
property owner. 3) The signatory Is the property owner or hes permission to represent the property owner fn this
transaction. 4) Al constrvctlon Is to be done In full compliance with the City of Spokane Valley Development CDde.
Referenced codes aro avasaWe 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, Was or ordinances. 6) Plans or
additional information may be required to be submitfad, and subsequently approved before this appli adon can be
Processed.
Ownersftlp of resulting development rights granted by any issued permit inure to the property owner.
Signature
Date
Method of Payment: (Faxed permit appllcallons wN only be accepted wdh major banhrard)
❑ Cash ❑ Chock ❑ Mastercard
aankeard 0: REDACTED Expires:
Authorized Signature:
rav"o 114amm
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
MAY 13 2008 16:49
G
REDACTED yip.
❑ Other
509 532 0893 PAGE.02
ani:r
Address:(.
Q
Ci . `t7
`C. t 3
Phone::
iV2Fast = , Z -mac)
Lie No: LI) NO
R41)Date.
rCity Rubies; Lie No:
Tear off Q Overlay
D19CLMMER
The pernRse verifies, acknowledges and agrees by thsir slgnatOre that: 1) if this permit is for construction of or on a
dwelilrg, the ch"Itfng ts/will be served by potable water. 2) Dwnershlp of this City of Spokane Valley Permit inure to the
property owner. 3) The signatory Is the property owner or hes permission to represent the property owner fn this
transaction. 4) Al constrvctlon Is to be done In full compliance with the City of Spokane Valley Development CDde.
Referenced codes aro avasaWe 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, Was or ordinances. 6) Plans or
additional information may be required to be submitfad, and subsequently approved before this appli adon can be
Processed.
Ownersftlp of resulting development rights granted by any issued permit inure to the property owner.
Signature
Date
Method of Payment: (Faxed permit appllcallons wN only be accepted wdh major banhrard)
❑ Cash ❑ Chock ❑ Mastercard
aankeard 0: REDACTED Expires:
Authorized Signature:
rav"o 114amm
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
MAY 13 2008 16:49
G
REDACTED yip.
❑ Other
509 532 0893 PAGE.02
May 13 08 05:40p Lang 509-532-0893 p.1
Facsimile Cover Sheet
To: City of Spokane Valley
Building Services
Company:
City of Spokane Valley
Phone:
( 509) 921-1000
Fax:
( 509) 688-0037
From:
Mark Lang
Company:
Lang Roofing
Phone:
(509) 532-0882
Fax:
(509)532-0893
Date:
Pages including this 2
cover page:
MAY 13 2008 1648 509 532 0893 PAGE.01