2004, 07-28 Permit: BLD-04-07180 Reroof*Wane
.0,00Valiey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 11819 E GLENVIEW CIR
SPOKANE WA 99206-7022
Description: TEAR OFF SHAKE ROOF AND REROOF WITH 40 YR LAMINATE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Permit #:
Applied:
Issued:
Expires:
BLD -04-07180
07/28/2004
07/28/2004
01/24/2005
Lot: Blk: Parcel No: 45281.1702 Zoning:
JACOBSON, CHARLES M/JACQUELINE
HOLT ROOFING Phone: (509) 328-8234
4918 W NORTHWEST BLV
SPOKANE, WA 99205
HOLT ROOFING
4918 W NORTHWEST BLV
SPOKANE WA 99205
Phone:
Lic No:
(509) 328-8234
HOLTR**072DS
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
6000
Y
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
125.25
4.50
129.75
129.75
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 in
A 2 0) A 71 -
Print Name
Staff Initials
roperty owner. 2
Signature
THIS IS NOT A RECEIPT
Date