2004, 07-22 Permit: BLD-04-07157 ReroofCITY ( •, `
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..;00Vajje RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD-04-07157
Job Address:
4221 N ELLEN RD
Applied: 07/22/2004
SPOKANE WA 99212
Issued: 07/22/2004
Description:
REROOF DUPLEX
Expires: 01/18/2005
Subdivision:
Lot: Blk:
Parcel No: 45022.4802 Zoning:
Owner:
SIMPSON, BRENDA B
Applicant:
SIMPSON, BRENDA B
Phone:
(509) 926-6973
Address:
11725 E GLENVIEW CIR
SPOKANE, WA 99206-5716
Contractor:
Phone:
Address:
Lic No:
General Information: Fees:
VALUATION 1500 BASIC PERMIT FEE 69.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 1500 Total Calculated: 73.75
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 73.75
WELLS LOCATED ON PROPERTY no
Total Due: 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
Print Name
Staff Initials
Signature
THIS IS NOT A RECEIPT