2004, 09-08 Permit: BLD-04-07592 Tear Off, Reroof molk
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,�,,•'��alley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07592
Job Address: 11620 E 16TH AVE Applied: 09/08/2004
SPOKANE WA 99212 Issued: 09/08/2004
Description: RESIDENTIAL TEAR-OFF&RE-ROOF Expires: 03/07/2005
Subdivision: Lot: Blk: Parcel No: 45281.0808 Zoning:
Owner: MILLERMITH,SUSAN/MILLER, M M
Applicant: ELY'S ROOFING&SIDING INC Phone: (509)467-3700
Address: PO BOX 28397
SPOKANE,WA 99228
Contractor: ELY'S ROOFING&SIDING INC Phone:
Address: 11620 E 16TH AVE Lic No: ELYSRSI033DG
SPOKANE WA 99212
General Information: Fees:
VALUATION 4033 BASIC PERMIT FEE 111.25
REROOF Y WSBCC SURCHARGE 4.50
NON-HEATED N Total Calculated: 115.75
COST OF PROJECT 4033 Deposits/Receipts: 115.75
SERVED BY SEPTIC SYSTEM no
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 res (ting development rights granted by any issued permit inure to the property owner.
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Staff Initials
THIS IS NOT A RECEIPT