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2007, 05-21 Permit App 07002755 Re-RoofSigrtature Method of Payment; cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: Permit Center SSIT'011 11703 E Sprague Ave, Suite B-3 poKane Spokane Valley, WA 99206 'Valley (509)688-0036 FAX: (509)688-0037 www. spokan e val l e y. or>; Community Development Reroof Construction Permit Application PERMIT NUMBER: PERMIT FEE: Commercial Residential SITE ADDRESS: 152c rp ASSESSORS PARCEL NO: Building Owner: �' , Name: _j ALjp,.i` /4 �1 C r—E- ipv Address: 9s.vs, 0 u frve My 1 City: gpf* p„ . State: 0M Zip: q2�'t, ��I Phone: 6y 1 _ 767) _7� J 7 Fax: Contact Person Name: LU'1\.7-( as NA L-1,'7_,- Phone: Contractor: Name: J C�6, Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Describe the scope of work in detail: ,Tear off ' CuL,f,e r� " Xec.ms M. t,A-c_s Cost of project: $ 5i.`-0op7; ❑ Overlay CE 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 gr. nted by any issued permit inure to the property owner. Date 5/,g'�/� REVISED 8/23/2005