2003, 10-10 Permit: BLD-03-02740 ReroofSpokane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
11504E VALLEY WAY Av{
SPOKANE WA 99212
RE -ROOF HOUSE
HAUGEN, A E
Permit #:
Applied:
Issued:
Expires:
BLD -03-02740
10/10/2003
10/10/2003
04/07/2004
Lot: Blk: Parcel No: 45164.0405 Zoning:
INLAND ROOFING & SUPPLY INC Phone: (509) 535-1566
5528 E SPRAGUE AVE
SPOKANE, WA 99212
INLAND ROOFING & SUPPLY INC
5528 E SPRAGUE AVE
SPOKANE WA 99212
Phone:
Lic No:
(509) 535-1566
I N LAN RSO44JA
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
4993
N
4993.00
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
44.50
111.25
4.50
160.25
160.25
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
Staff Initials
Signature Date
THIS IS NOT A RECEIPT