2004, 08-26 Permit: BLD-04-07468 Tear off, Reroof Spoke
.4••••015.1/Talley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07468
Job Address: 13401 E 12TH AVE Applied: 08/26/2004
SPOKANE WA 99216-0676 Issued: 08/26/2004
Description: TEAR OFF, RESHEET AND REROOF Expires: 02/22/2005
Subdivision: Lot: BIk: Parcel No: 45224.1521 Zoning:
Owner: DONAHUE, R&E
Applicant: CAPSTONE CONSTRUCTION Phone: (509)468-4981
Address: PO BOX 388
NINE MILE FALLS,WA 99026
Contractor: CAPSTONE CONSTRUCTION Phone: (509)468-4981
Address: PO BOX 388 Lic No: CAPSTCC106J5
NINE MILE FALLS WA 99026
General Information: Fees:
VALUATION 5000 BASIC PERMIT FEE 111.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 5000 Total Calculated: 115.75
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 115.75
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.
/1
?(.0 Ot�
Pelt) Signature Dat
Staff Initials
THIS IS NOT A RECEIPT