2004, 09-21 Permit BLD-04-07707 Re-RoofSpokane
coorsValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address. 311 N FLORA RD
GREENACRES WA 99016-9394
Description: TEAR -OFF, RE -SHEET, RE -ROOF
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address.
RAY, RANDY L
Permit #: BLD-04-07707
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45134.0902 Zoning:
A BEST ROOFING Phone:
10720 E MISSION AVE
SPOKANE, WA 99206-4822
A BEST ROOFING
10720 E MISSION AVE
SPOKANE WA 99206-4822
Phone:
Lic No:
(509) 926-0526
BESTRIA063KB
09/21/2004
09/21 /2004
03/20/2005
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
5700
Y
N
5700
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
125.25
4.50
129.75
129.75
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.
Ownershjp of resulting development rights granted by any issued permit inu ,io
Print Name
Signature
/property owner.
/�if���C✓ 17/COY
Date
Staff Initials
THIS IS NOT A RECEIPT