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2009, 11-09 Permit: 09003623 Tear Off, Reroof Sjo1 ' ' PERMIT CENTER Valley® 11703 E. Sprague Avenue, Suite B-3 Spokane Valley,WA 99206 Site Information Project Information Site Address: 10215 E 16TH AVE Project Number: 09003623 Inv: 1 Issue Date: 11/09/2009 Permit Use: TEAR OFF RE-ROOF Parcel Number: 45204.3830 Subdivision: Applicant: AFFORDABLE NW ROOFING Block: Lot: 21851 E MULLAN LANE Zoning: R-3 SF Res District LIBERTY LAKE,WA 99019 Phone: (509)928-8188 Contact: AFFORDABLE NW ROOFING Owner: SIEGEL,WILLIAM G 21851 E MULLAN LANE Address: PO BOX 13518 LIBERTY LAKE,WA 99019 Phone: (509)928-8188 SPOKANE VALLEY,WA 99213 Setbacks-Front: Left: Right: Rear: Building Inspector: SOUTH Water Dist: SPO CO WATER DIST#3A Group Name: Project Name: Permits Building Permit Contractor: AFFORDABLE NW ROOFING INC License#: AFFORNRO06DN TEAR OFF RE- R-3 VB 0 RESIDENTIAL PERMIT FEE $111.25 OOF WSBCC SURCHARGE $4.50 Total Value: $4,550.00 Total Permit Fee: $115.75 FOR BUILDING INSPECTIONS CALL(509)688-0054. Payment Summary Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt $115.75 $115.75 $0.00 11/09/2009 20749 $115.75 Lite- C Processed By: DAVIS,JENNA PERMIT Printed By: MORRIS,HEATHER Page 1 of 1