2004, 10-05 Permit: BLD-04-07843 SidingSiorkane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 3001 S BOLIVAR RD
VERADALE WA 99037-9369
Description: APPLY VINYL SIDING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
DIXON, RONNIE D
Permit #:
Applied:
Issued:
Expires:
BLD -04-07843
10/05/2004
10/05/2004
04/03/2005
Lot: Blk: Parcel No: Zoning:
K DESIGNERS Phone: (800) 528-9543
8647 S 212 ST
KENT, WA 98031
K DESIGNERS
8647 S 212 ST
KENT WA 98031
Phone:
Lic No:
(800) 528-9543
KDESI**0330S
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
22336
Y
N
22336
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
363.25
4.50
367.75
367.75
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 to the property owner.
-� 6, -, ,° 1/ 7`C') I '7
/ Print Name ( Signature ' Date
Staff Initials
THIS IS NOT A RECEIPT