2003, 09-10 Permit: BLD-03-02426 Repair Fire Damage • a
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,,,,M•'� alley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02426
Job Address: 11306 E PORTLAND AVE Applied: 09/10/2003
SPOKANE WA 99212 Issued: 09/11/2003
Description: FIRE DAMAGE REPAIR TO DUPLEX-ROOF TRUSSES AND INTERIOR WALLS Expires: 03/09/2004
Subdivision: Lot: BIk: Parcel No: 45043.1023 Zoning:
45043.1044
Owner: BLOMBERG, RICK
Applicant: SIMMCO CONSTRUCTION Phone: (509)928-7575
Address: 15320 E MARIETTA 11
SPOKANE,WA 99212
Contractor: SIMMCO CONSTRUCTION Phone: (509)928-7575
Address: 15320 E MARIETTA 11 Lic No: SIMMCCI972B9
SPOKANE WA 99212
General Information: Fees:
VALUATION 40000 BASIC PERMIT FEE 542.75
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 547.25
WELLS LOCATED ON PROPERTY no
Deposits/Receipts: 547.25
Total Due: 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.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT