2004, 03-25 Permit: BLD-04-03901 Repair Fire Damageso or ,
Spode
.000 Vlley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 1723 S BOWDISH RD
SPOKANE WA 99206
Description: FIRE DAMAGE REPAIR OF MAIN FLOOR INTERIOR ONLY
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
BAXTER, AUDREY UDEROSIER, ALT
Permit #: BLD -04-03901
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45281.0903 Zoning:
SIMMCO CONSTRUCTION Phone: (509) 928-7575
15320 E MARIETTA 11
SPOKANE, WA 99212
SIMMCO CONSTRUCTION
15320 E MARIETTA
SPOKANE WA 99212
11
Phone:
Lic No:
(509) 928-7575
SIMMCCI972B9
03/25/2004
03/25/2004
09/21/2004
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
30000
Y
30000
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
441.75
4.50
446.25
446.25
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.
t o to i -L J
R.oSs
4D e
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT