2004, 10-27 Permit: BLD-04-08043 Reroof*Wane
40,01;Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 14610 E NIXON AVE
SPOKANE WA 99216-2049
Description: TEAR OFF AND REROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
MOUNTS, CAMILLA M
Permit #: BLD -04-08043
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45143.2408 Zoning:
G L ROOFING CO Phone: (509) 993-4222
PO BOX 626
MEAD, WA 99021
G L ROOFING CO
PO BOX 626
MEAD WA 99021
Phone:
Lic No:
(509) 993-4222
GLROOC*160PU
10/27/2004
10/27/2004
04/25/2005
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
6311
Y
N
6311
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
139.25
4.50
143.75
143.75
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 i re to the property owner.
Print Name Signature
Staff Initials
j Date
THIS IS NOT A RECEIPT