2004, 06-25 Permit: BLD-04-04716 ReroofStolCITi[�
al1e
.000 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 517 N BOWDISH RD
SPOKANE WA 99206
Description: REROOF (APPLYING 3RD LAYER)
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
DIAZ, ANDREW J/FULKERSON, CHRI
AFFORDABLE NW ROOFING INC
1204 N HOMESTEAD DR
LIBERTY LAKE, WA 99019
AFFORDABLE NW ROOFING INC
1204 N HOMESTEAD DR
LIBERTY LAKE WA 99019
Permit #:
Applied:
Issued:
Expires:
BLD -04-04716
06/25/2004
06/25/2004
12/22/2004
Lot: Bik: Parcel No: Zoning:
Phone: (509) 370-0745
Phone:
Lic No: AFFORNROO6DN
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
4200
Y
4200
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
69.25
4.50
73.75
115.75
-42.00
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.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT