2004, 09-22 Permit: BLD-04-07723 ReroofSpokcert c� /'�'''�•.w�
ane
.,,.'Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 13722 E RIVERSIDE AVE
SPOKANE WA 99216-0828
Description: TEAR -OFF & RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
EFRAIN RAMIREZ
Permit #: BLD -04-07723
Applied: 09/22/2004
Issued: 09/22/2004
Expires: 03/21/2005
Lot: Blk: Parcel No: 45154.3204 Zoning:
EFRAIN RAMIREZ Phone: (509) 995-1480
7514 W MELVILLE RD
CHENEY, WA 99004
Contractor: Phone:
Address: Lic No:
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
1100
Y
N
1100
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 issued permit inure to the property owner.
& i''c2 t s 1 ileyl 44 /1/ CZ G
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date