2004, 11-05 Permit: BLD-04-08126 Reroofaonalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Permit #: BLD -04-08126
Job Address: 7219 E 5TH AVE
SPOKANE VALLEY WA 99212
Description: RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
TONI KIDWELL
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
TONI KIDWELL Phone: (509) 891-5813
7219 E 5TH AVE
SPOKANE VALLEY, WA 99212
Contractor: Phone:
Address: Lic No:
11/05/2004
11/05/2004
05/04/2005
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
300
Y
N
300.
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) AU 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
i /tc.r f.Ve--tC
Signature Date
THIS IS NOT A RECEIPT