2007, 02-27 Permit App 07000569 Re-RoofPermit Center �m 11707 E S ra a Ave, 6
po�kane p � � �� ,�.�„ �-y. Iwo
�j��7S okaneValle WA 6}L��npx�®g" Fey (09)688-0036 FAX: ( 688-0037 V �
Co*++munityDevelopment wltw.spokaneaallev.ore.c ,. FEB 2 T D
D �
Reroof Construction L�J D a n ❑ Commercial
Permit Application � m-Mrsidential
SITEADDRESS —1 C ;� E . 2 �'I
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
EVER_MIMS
Nam:'hAI11W C
Address 2 O £ .
City. VA . zip:
Phone: 2 / O — If 2 Fax:
.
Phone: S-76 f
Describe the scope of work in
Cost of project
�Gtrci9nn��/��lxd�nc/ IBM
Address: Z04� elJ
City: GGI.t/ Zi : 2012
Phone: Fax:
Lie No: Exp. Date:
City Business Lie No:
O'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
propertyowner. 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 resultinnggQdevejppmeent ri hts granted ny issued permit inure to the property owner.
Signature Date Ala a
Method of Payment. (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
REVISED MUMS
Expires:
1141SA
VIN#:
❑ Other