2004, 04-12 Permit: BLD-04-04043 Reroof esrk or /�� �►
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4000 Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04043
Job Address: 12219 E 23RD AVE Applied: 04/12/2004
SPOKANE WA 99212 Issued: 04/12/2004
Description: RE-ROOF DUPLEX Expires: 10/09/2004
Subdivision: Lot: Blk: Parcel No: 45281.1644 Zoning:
Owner: DONAHUE, P E
Applicant: N PERRENOUD ROOFING Phone: (509)994-6795
Address: 219 S HOGAN ST
SPOKANE,WA 99202
Contractor: N PERRENOUD ROOFING Phone:
Address: 219 S HOGAN ST Lic No: nperrr"99011
SPOKANE WA 99202
General Information: Fees:
VALUATION 3770 BASIC PERMIT FEE 97.25
REROOF Y WSBCC SURCHARGE 4.50
COST OF PROJECT 3770.00 Total Calculated: 101.75
SERVED BY SEPTIC SYSTEM no Deposits/Receipts: 101.75
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 re"resent the property owner in this transaction. 4)All construction is to be done in full compliance with the City of
Spokane Valley Developme'(Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5)This City of
Spokane Valley Permit is • . permit or approval for any violation of federal,state or local laws,codes or ordinances.
Ow rs ip if resultin�- -lopment rights granted by any issued permit in ret a property liner.
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Print`Name Signature Date I
Staff Initials
THIS IS NOT A RECEIPT