2004, 03-03 Permit: BLD-04-03663 Reroof, Sidingf
Sp®kane
.Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 624 S BLAKE RD
SPOKANE WA 99212
Description: REROOF, SIDING, WINDOWS
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
HIGLEY, TONY
DALES MAINT& REMODELING INC
11323 E DISHMAN MICA RD
SPOKANE VALLEY, WA 99206
DALES MAINT & REMODELING
11323 E DISHMAN MICA RD •
SPOKANE VALLEY WA 99206
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45221.0829
Phone: (509) 924-3438
Phone:
Lic No:
(509) 979-1034
DALESMR121MQ
BLD -04-03663
Zoning:
03/03/2004
03/03/2004
08/30/2004
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
ELECTRIC HOT WATER TANK
12000
N
no
no
1
1
2
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
ELECTRIC WATER HEATER TANK
Total Calculated:
Deposits/Receipts:
Total Due:
83.70
209.25
4.50
6.00
6.00
12.00
6.00
327.45
327.45
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 issued permit inure�he props
U Tr() ?E'oA
owner
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
3-Z0V
Date