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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 -�� -o7 Date