2003, 12-18 Permit: BLD-03-03310 Repair Fire Damage THIS IS NOT A PERMIT
ark 410111,
Penalties will be assessed for
Spode commencing work without a permit
,,,0,00Miley RESIDENTIAL ADDITION/REMODEL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-03-03310
Job Address: 12511 E 19TH AVE Applied: 12/18/2003
SPOKANE WA 99216-2531 Issued:
Description: FIRE DAMAGE REPAIR-CEILING AND A WALL IN KITCHEN Expires: 06/15/2004
Subdivision: Lot: Blk: Parcel No: 45272.2509 Zoning:
Owner: NERREN, DAVID F&ANGELA M
Applicant: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100
SPOKANE,WA 99206
Contractor: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100 Lic No: BELFOUG99OBJ
SPOKANE WA 99206
General Information: Fees:
VALUATION 7000 BASIC PERMIT FEE 139.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 143.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 143.75
Total Due: 0.00
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THIS IS NOTA RECEIPT
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4,000Malley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03310
Job Address: 12511 E 19TH AVE Applied: 12/18/2003
SPOKANE WA 99216-2531 Issued: 12/22/2003
Description: FIRE DAMAGE REPAIR-CEILING AND A WALL IN KITCHEN Expires: 06/19/2004
Subdivision: Lot: Blk: Parcel No: 45272.2509 Zoning:
Owner: NERREN, DAVID F&ANGELA M
Applicant: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100
SPOKANE,WA 99206
Contractor: BELFOR USA GROUP Phone: (509)893-0001
Address: 10020 E KNOX AVE #100 Lic No: BELFOUG99OBJ
SPOKANE WA 99206
General Information: Fees:
VALUATION 7000 BASIC PERMIT FEE 139.25
REROOF Y WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 143.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 143.75
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.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT