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2004, 10-12 Permit: BLD-04-07904 Tear Off, ReroofSpokane fey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION/REMODEL PERMIT Job Address: 4716 N CONKLIN RD SPOKANE WA 99216 Description: TEAR -OFF / RE -ROOF Subdivision: Owner: Applicant: Address: Contractor: Address: HAYES, CYNTHIA E & LAWRENCE A Permit #: BLD -04-07904 Applied: Issued: Expires: Lot: Blk: Parcel No: 45011.0902 Zoning: JIMMYS ROOFING Phone: 8402 N CANAL LN NEWMAN LAKE, WA 99025 JIMMYS ROOFING 8402 N CANAL LN NEWMAN LAKE WA 99025 Phone: Lic No: (509) 226-2073 JIMMYR*999LQ 10/12/2004 10/12/2004 04/10/2005 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. ±912/111 Signature Date THIS IS NOT A RECEIPT