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2004, 06-29 Permit: BLD-04-04773 ReroofSpokane .,,,0,00Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION/REMODEL PERMIT Job Address: 1622 S LINDA SPOKANE WA 99212 Description: TEAR OFF AND RE -ROOF Subdivision: Owner: Applicant: Address: Contractor: Address: JACOBSEN, KATHLEEN M Permit #: Applied: Issued: Expires: BLD -04-04773 06/29/2004 07/02/2004 12/29/2004 Lot: Blk: Parcel No: 45281.0909 Zoning: SPECIALTY HOME PRODUCTS Phone: (509) 534-8372 2222 E MALLON AVE SPOKANE, WA 99202 SPECIALTY HOME PRODUCTS 2222 E MALLON AVE SPOKANE WA 99202 Phone: Lic No: (509) 534-8372 SPECIHP011 KS General Information: VALUATION REROOF SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 3945 Y 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 arty issued permit inure to the property owner. rin ame Signature Date \ j Staff Initials THIS IS NOT A RECEIPT