2004, 08-05 Permit: BLD-04-07255 Repair Fire Damage crrY SIM `►
Spokane
.000Wley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07255
Job Address: 14109 E 3RD AVE Applied: 08/05/2004
SPOKANE VALLEY WA 99216 Issued: 08/05/2004
Description: FIRE DAMAGE REPAIR TO DUPLEX Expires: 02/01/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SANSONE, MARK
Applicant: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100
SPOKANE,WA 99206
Contractor: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100 Lic No: BELFOUG99OBJ
SPOKANE WA 99206
General Information: Fees:
VALUATION 75000 BASIC PERMIT FEE 818.75
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 75000 Total Calculated: 823.25
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 823.25
WELLS LOCATED ON PROPERTY no
Total Due: 0.00
Conditions of MUST MEET ALL CONDITIONS OF FIELD INSPECTION.
Approval:
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.
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Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT