2003, 10-14 Permit: BLD-03-02777 Reroofsp®kan�,N,
'FValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address. 4723 N LARCH RD
SPOKANE WA 99216-1538
Description: REROOF RESIDENCE
(OWNER IS CONTRACTOR)
Subdivision:
Owner:
Applicant:
Address:
SHAFFER, SETH & HILARY
Permit #:
Applied:
Issued:
Expires:
Lot: Bik: Parcel No: 45011.0401
SHAFFER, SETH & HILARY Phone: (509) 924-2231
4723 N LARCH RD
SPOKANE, WA 99216-1538
Contractor: Phone:
Address: Lic No:
BLD -03-02777
Zoning:
10/14/2003
10/14/2003
04/11/2004
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
600
Y
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
4.50
39.50
39.50
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 o he property owner
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
10.14-03