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2004, 09-21 Permit: BLD-04-07709 Tear Off, ReroofSiiaane 40,00Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION/REMODEL PERMIT Job Address: 315 N CONKLIN RD VERADALE WA 99037-9511 Description: TEAR -OFF, RE -SHEET, RE -ROOF Subdivision: Owner: Applicant: Address: Contractor: Address: BOYD, CARL A & PATRICIA L Permit #: Applied: Issued: Expires: BLD -04-07709 09/21/2004 09/21/2004 03/20/2005 Lot: Bik: Parcel No: Zoning: INLAND ROOFING & SUPPLY INC Phone: (509) 535-1566 5528 E SPRAGUE AVE SPOKANE, WA 99212 INLAND ROOFING & SUPPLY INC 5528 E SPRAGUE AVE SPOKANE WA 99212 Phone: Lic No: (509) 535-1566 I N LAN RSO44JA General Information: VALUATION REROOF NON -HEATED COST OF PROJECT SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 3490 Y N 3490 no no Fees: BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 97.25 4.50 101.75 101.75 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 INLAND ROOFING S09S339630 0S/14/04 11:11am P. 001 CITY OF SPOKANEVALLEY BUILDING DEPARTMENT 11707 E Sprague Ave, Suite 106 * Spokane Valley, WA 99206 Phone: (509) 688-0036 FAX: (509) 688-0037 J013 ADDRFSS: CITY/STATE/ZIP: OWNER; C_Cs,c 1 _Patc v MAILINO AI)E)RESS: (if different) CITY/STKIT/ZIP: PHONE: PERMIT USE: REROOF RESIDE: OUSkXiARACIE, pprzmir VALUE: 3,14 ROOF OVER __Dp. TEAR OFF (i) PERMIT 1;I+: RES11EF,T CONTRACTOR: INLAND ROOFING & SUPPLY INC 5528 E Sprague Ave * Spokane, WA 99212-0825 (509) 535-1566 LICENSE: 11: INLANRS044.1A PRESIDENT: Dick Edwards FAX /I: 533-9630 Please put on our Visa. THANK YOU! •-i.,-(17 -I eciF-7:',S:4417 File Name: valpareq.doc 3/31/03 101.7g. - 71O6 SEP 14 2004 1045 5095339630 PAGE.01