2007, 03-28 Permit App 07000991 Re-RoofSp �77 ��,,.�� Permit Center
Cilti�llle 11707 E Sp ll a ni�lQ6 O pp 2 D
77e�7 Spokane Valle , 2 l�� V LS
Ili J (509)688-0036 :(509)688-0037
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Reroof Construction ❑ Commercial
Permit Application residential
SUE ADDRESS 94,?-Z-- E
ASSESSORS PARCEL NO:
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LEGAL DESCRIPTION:
Name:
Address:
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City:
Zip:
Phone:
Fax:
Name: ,
Phone: 3 t— 0 i 14
Describe the scope of work in detail:
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Cost of project I S O
Name: AaLE
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Address: (Za q N4
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City: ' (.—1k
Zip: Gj C' o i
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Phone: 12 Fax:
Lie No: Exp.
Date:
City Business Lie No:
M"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 granie by any issued permit inure to the property owner.
Signature �J` Date z' (2�: (ate
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
REVISED & 005
Expires:
❑ VISA ❑ Other
VIN#: