2004, 08-10 Permit: BLD-04-07330 Reroof Spok�.ne
,,,,,,. 'Malley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07330
Job Address: 15717 E 16TH AVE Applied: 08/10/2004
VERADALE WA 99037-9213 Issued: 08/10/2004
Description: RE-ROOF Expires: 02/06/2005
OWNER CONTRACTOR
Subdivision: Lot: BIk: Parcel No: 45243.0316 Zoning:
Owner: ROCKSTROM, D&J
Applicant: ROCKSTROM, D&J Phone:
Address: 15717E 16TH AVE
VERADALE,WA 99037-9213
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 1800 BASIC PERMIT FEE 69.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 73.75
WELLS LOCATED ON PROPERTY no
Deposits/Receipts: 73.75
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.
P i N e• Signature Date
St initials
THIS IS NOT A RECEIPT