2003, 10-29 Permit: BLD-03-02927 Reroof Spokane
.,,0Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02927
Job Address: 421 N SARGENT RD Applied: 10/29/2003
SPOKANE WA 99212-2818 Issued: 10/29/2003
Description: REROOF Expires: 04/26/2004
Subdivision: Lot: Blk: Parcel No: 45184.0632 Zoning:
Owner: MCCULLOUGH,JERRY
Applicant: G L ROOFING CO Phone: (509)993-4222
Address: PO BOX 626
MEAD,WA 99021
Contractor: G L ROOFING CO Phone: (509)993-4222
Address: PO BOX 626 Lic No: GLROOC*160PU
MEAD WA 99021
General Information: Fees:
VALUATION 3124 BASIC PERMIT FEE 97.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 101.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 101.75
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 i ure to the property owner.
(27( /` —079- 03
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT