2004, 09-10 Permit: BLD-04-07629 ReroofSiowkane
40,00Md1ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
921 N RAVALLI DR
VERADALE WA 99037-9569
TEAR OFF AND RE -ROOF
OWNER CONTRACTOR
HAYWARD, R A
Permit #: BLD -04-07629
Applied: 09/10/2004
Issued: 09/10/2004
Expires: 03/09/2005
Lot: Bik: Parcel No: 45141.0503
HAYWARD, R A Phone:
921 N RAVALLI DR
VERADALE, WA 99037-9569
Phone:
Lic No:
Zoning:
General Information:
VALUATION
REROOF
NON -HEATED
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
1400
Y
N
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
69.25
4.50
73.75
73.75
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 iss} d mit inure to the property owner.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date