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2004, 05-04 Permit: BLD-04-04252 ReroofSj)0ka11e Eley RESIDENTIAL ADDITION/REMODEL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 419 N LOCUST RD SPOKANE WA 99206-3827 Description: REROOF Subdivision: Owner: Applicant: Address: Contractor: Address: STACK, CLARK D Permit #: Applied: Issued: Expires: Lot: BIk: Parcel No: 45173.0714 N PERRENOUD ROOFING Phone: (509) 994-6795 219 S HOGAN ST SPOKANE, WA 99202 N PERRENOUD ROOFING 219 S HOGAN ST SPOKANE WA 99202 Phone: Lic No: nperrC99011 BLD -04-04252 Zoning: 05/04/2004 05/04/2004 10/31/2004 General Information: VALUATION REROOF COST OF PROJECT SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 2500 Y 2500 no no Fees: BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due 69.25 4 50 73.75 87.75 -14.00 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 permitinur? p perty owner Print Name Signature Staff Initials THIS IS NOT A RECEIPT Date