2004, 06-30 Permit: BLD-04-04821 Reroofc, or 11�A" \r�
'.
Spokane
.00.0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 11009 E MALLON AVE
SPOKANE WA 99206-7228
Description: TEAR OFF AND RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
GILLINGHAM, E M
Permit #: BLD -04-04821
Applied: 06/30/2004
Issued: 07/02/2004
Expires: 12/29/2004
Lot: Blk: Parcel No: 45162.1049 Zoning:
45162.1086
OWENS ROOFING & GNRL CONTR INC Phone: (509) 535-8102
3911 E TRENT AVE
SPOKANE, WA 99202
OWENS ROOFING & GNRL CONTR INC
3911 E TRENT AVE
SPOKANE WA 99202
Phone:
Lic No:
(509) 535-8102
OW ENSRG12008
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3000
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 rights granted by any issued permit inure to the property owner.
P nt Nan-
St itials
Signature
THIS IS NOT A RECEIPT
Date