2004, 06-30 Permit: BLD-04-04807 Reroof CITY OF �� •
Spokane
RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04807
Job Address: 11403 E 12TH AVE Applied: 06/30/2004
SPOKANE WA 99206-2843 Issued: 06/30/2004
Description: REROOF Expires: 12/27/2004
Subdivision: Lot: Blk: Parcel No: 45213.1110 Zoning:
Owner: CARROLL, ROBERT E&MARJORIE A
Applicant: HENDERSON ROOFING&CONST INC Phone: (509)928-7254
Address: 1330 S PINES RD
SPOKANE VALLEY,WA 99206
Contractor: HENDERSON ROOFING&CONST INC Phone: (509)928-7254
Address: 1330 S PINES RD Lic No: HENDERC995MS
SPOKANE WA 99207
General Information: Fees:
VALUATION 2750 BASIC PERMIT FEE 83.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 2750 Total Calculated: 87.75
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 87.75
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.
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Staff Initials
THIS IS NOT A RECEIPT