Loading...
2012, 11-06 Permit App BLD-2012-2009 Re-RoofSpo°` rare . Permit Center 11703 E Sprague Ave, Ste B-3 Spokane Valley, WA 99206 (509)688-0036 FAX (509)688-0037 www_spokanevalev_org Community Development Reroof Construction Permit Application SHE ADDRESS: + I 1 ' j E- % B ASSESSORS PARCEL NO: Names ( 2114) . frt.r r L Address: •I11i 9 fl/. P7�YrQC1/ ; .• .: C$y: f X. j-i •ar;v2. / .%7//.' i She: - J Am 6r/27 ?bone:1�G—Z/G US Fax • Name: YY7 Phone: Describe the scope of work in detail: r rl%T i (3'O- 2(,\2--7 PERMIT NUMBER: PERMIT FEE: # ' ! / N ❑ Commercial Residential contractor..* - a , ems •'- sr7.- _= xa '7r--Qm (IPnil-n O.Y. ( . C i---� Addies -�l nT, ti . ( P!P/Yilf r) Rr'f ('' 1-,,, (;�//�r s h.'•rti 2;? l . , z/(o-,v G Far _`)-(--%5- 3• -3 — /fb?a �,.m, r . F,,,�D _.‘ I //571 . Contractor Lic No: ;)�c StyBusiness Lic Na • . _z ,7 -6_, 0 . .Tear off ❑ Overlay c Cost of project $ 2G,�, , L The permitee verifies, acknowledges and agrees by their signature that 1) tf this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this Cfy 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. 1 Ownership of -rights gr by any issued permit inure to the property owner. Signature Method of Paym ❑ Cash Bankcard #: Authorized Signature: REVISED EV ❑ Check ❑ Mastercard Expires: Date VISA i/l(1l#: