2003, 10-22 Permit: BLD-03-02867 Re-Roof CI'f s cw` 1 it
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Spokane
�'�Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02867
Job Address: 10713 E 19TH AVE Applied: 10/22/2003
SPOKANE WA 99206-5621 Issued: 10/22/2003
Description: TEAR-OFF AND RECOVER Expires: 04/19/2004
Subdivision: Lot: Blk: Parcel No: 45282.4310 Zoning:
Owner: EVANS, MAXINE A
Applicant: LANG ROOFING COMPANY Phone: (509)532-0882
Address: 1301 E PACIFIC AVE
SPOKANE,WA 99202
Contractor: LANG ROOFING COMPANY Phone: (509)532-0882
Address: 1301 E PACIFIC AVE Lic No: LANGRC*066DJ
SPOKANE WA 99202
General Information: Fees:
VALUATION 5295 BASIC PERMIT FEE 125.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 129.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 129.75
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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Print Name Signature at
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THIS IS NOT A RECEIPT