2004, 04-26 Permit: BLD-04-04200 ReroofSlioka 1�a~`
a,,,,,.sMalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address. 11524 E 4TH AVE
SPOKANE WA 99206-5305
Description: TEAR OFF AND REROOF RESIDENCE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address.
SMITH, MARY LYNN
Permit #:
Applied:
Issued:
Expires:
BLD -04-04200
04/26/2004
04/26/2004
10/23/2004
Lot: Blk: Parcel No: 45211.1901 Zoning:
SMITH, MARY LYNN Phone: (509) 928-1369
11524E 4TH AVE
SPOKANE, WA 99206-5305
Phone:
Lic No:
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
800
Y
800
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 pr.1g owner.
Print Name
Staff Initials
Signature Q�7
THIS IS NOT A RECEIPT
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Date