2004, 11-19 Permit: BLD-04-08145 Tear Off, Reroof Spokane r
+,,,•'Val ley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-08145
Job Address: 11203 E 17TH AVE Applied: 11/19/2004
SPOKANE WA 99206-2301 Issued: 11/19/2004
Description: TEAR-OFF& RE-ROOF Expires: 05/18/2005
Subdivision: Lot: Bik: Parcel No: 45282.1810 Zoning:
Owner: PATTY NISHIMURA/COFFMAN
Applicant: WASHINGTON ROOFMAN Phone: (509)536-6326
Address: 1824 S STANLEY LN
SPOKANE VALLEY,WA 99212
Contractor: WASHINGTON ROOFMAN Phone:
Address: 1824 S STANLEY LN Lic No: WASHIR*066OZ
SPOKANE VALLEY WA 99212
General Information: Fees:
VALUATION 3300 BASIC PERMIT FEE 97.25
REROOF Y WSBCC SURCHARGE 4.50
NON-HEATED N Total Calculated: 101.75
COST OF PROJECT 3300 Deposits/Receipts: 101.75
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 resulting development rights granted by any issued permit inure to the property owner.
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Signature Date
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THIS IS NOT A RECEIPT