2004, 03-03 Permit: BLD-04-03666 RerooftlTY of 1
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Permit #:
Job Address: 12625 E 4TH AVE
SPOKANE WA 99216-0707
Description: TEAR OFF AND RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
LOPP, 0 C
Applied:
Issued:
Expires:
BLD -04-03666
03/03/2004
03/04/2004
08/30/2004
Lot: BIk: Parcel No: 45222.0653 Zoning:
LANG ROOFING COMPANY Phone: (509) 532-0882
1301 E PACIFIC AVE
SPOKANE, WA 99202
LANG ROOFING COMPANY
1301 E PACIFIC AVE
SPOKANE WA 99202
Phone:
Lic No:
(509) 532-0882
LANGRC*066DJ
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3000
N
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
83.25
4.50
87.75
87.75
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 property owner.
Staff Initials
Signature
THIS IS NOT A RECEIPT