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2004, 09-23 Permit: BLD-04-07736 Tear Off, ReroofSpode .000M7alley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION/REMODEL PERMIT Job Address: 12104 E BOONE AVE SPOKANE WA 99212 Description: TEAR -OFF & RE -ROOF Subdivision: Owner: Applicant: Address: Contractor: Address: RON JACOBS Permit #: BLD -04-07736 Applied: Issued: Expires: Lot: Blk: Parcel No: 45161.0781 Zoning: ASPEN CONSTRUCTION Phone: (509) 838-8633 PO BOX 3541 SPOKANE, WA 99220 ASPEN CONSTRUCTION PO BOX 3541 SPOKANE WA 99220 Phone: Lic No: (509) 838-8633 ASPENCL982NF 09/23/2004 09/23/2004 03/22/2005 General Information: VALUATION REROOF NON -HEATED COST OF PROJECT SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 9100 Y N 9100 no no Fees: BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 181.25 4.50 185.75 185.75 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. Signature Date THIS IS NOT A RECEIPT