2004, 08-11 Permit: BLD-04-07353 ReroofsPokane
41_.. galley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
4722 N LUCILLE RD
SPOKANE WA 99216-1380
RE -ROOF - 2ND LAYER
CZAPIEWSKI, D M
DEFREESE CONSTRUCTION
4901 E TREVOR
COLBERT, WA 99005
DEFREESE CONSTRACTORS
4901 E TREVOR
COLBERT WA 99005
Permit #: BLD -04-07353
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45021.0608 Zoning:
Phone: (509) 238-4725
Phone: (509) 238-4725
Lic No: DEFREC*158CN
08/11/2004
08/11/2004
02/07/2005
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
2300
Y
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
83.25
4.50
87.75
87.75
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 nghts granted by any issued permit inure to the property- owner.
)44;4
Print Name
Staff Initials
L
L fl
Signature Date
Fire V
THIS IS NOT A RECEIPT