2004, 08-12 Permit: BLD-04-07363 Tear Off, Reroof Sp41I1� �`
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.0,00 Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07363
Job Address: 11404 E 23RD AVE Applied: 08/12/2004
SPOKANE WA 99206-2316 Issued: 08/12/2004
Description: TEAR OFF CEDAR SHAKE ROOFING AND REROOF W/COMPOSITION Expires: 02/08/2005
Subdivision: Lot: Blk: Parcel No: 45282.3818 Zoning:
Owner: FRLAN,JOHN R&KIMBERLY A
Applicant: FRLAN,JOHN R&KIMBERLY A Phone: (509)863-5134
Address: 11404E 23RD AVE
SPOKANE,WA 99206-2316
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 1500 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 o the property owner.
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Staff Initials
THIS IS NOT A RECEIPT