2004, 10-14 Permit: BLD-04-07924 Reroof.000 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
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RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 12326 E 4TH AVE
SPOKANE WA 99212
Description: TEAR OFF AND REROOF RESIDENCE
Permit #: BLD -04-07924
Applied: 10/14/2004
Issued: 10/14/2004
Expires: 04/12/2005
Subdivision: Lot: Blk: Parcel No: 45222.1736 Zoning:
Owner: SCHWARTZENBERGER, CHUCK
Applicant: SCHWARTZENBERGER, CHUCK Phone: (509) 951-6974
Address: 12326 E 4TH AVE
SPOKANE, WA 99212
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 350 BASIC PERMIT FEE 69.25
REROOF Y WSBCC SURCHARGE 4.50
NON -HEATED N Total Calculated: 73.75
COST OF PROJECT 350 Deposits/Receipts: 73.75
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no 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 inure to the property owner.
Print Name
Staff Initials
Signature Date
THIS IS NOTA RECEIPT