2004, 05-28 Permit: BLD-04-04470 ReroofSpokane
�,s Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION /REMODEL PERMIT
Job Address: 1723 S BALFOUR BLVD
SPOKANE WA 99206 -3311
Description: REROOF OVER ONE EXISTING LAYER
Permit #: BLD -04 -04470
Applied: 05/28/2004
Issued: 05/28/2004
Expires: 11/24/2004
Subdivision: Lot: Blk: Parcel No: 45291.0211 Zoning:
Owner: MALSTROM, FREDERICK & ENID
Applicant: MALSTROM, FREDERICK & ENID Phone: (509) 922 -8053
Address: 1723 S BALFOUR BLVD
SPOKANE, WA 99206 -3311
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 1588 BASIC PERMIT FEE 69.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 1588 Total Calculated: 73.75
SERVED BY SEPTIC SYSTEM no Deposits /Receipts: 73.75
WELLS LOCATED ON PROPERTY no
Total Due:
0.00
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.
Ownership of resulting development rights granted by any issu it inure to the property owner.
(? 7 / AL 57,&7M
Print Name
Staff Initials
Q 7"
Signature- Date
THIS IS NOT A RECEIPT