2004, 05-26 Permit BLD-04-04451 Re-RoofSpiokane
./0M,lley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
13404 E BROADWAY AVE
SPOKANE WA 99216-1009
TEAR OFF AND REROOF
MARION G DE GROAT LIVING TRUST
Permit #:
Applied:
Issued:
Expires:
BLD-04-04451
05/26/2004
06/02/2004
11/30/2004
Lot: Blk: Parcel No: Zoning:
WASHINGTON ROOFMAN Phone: (509) 536-6326
1824 S STANLEY LN
SPOKANE VALLEY, WA 99212
WASHINGTON ROOFMAN
1824 S STANLEY LN
SPOKANE VALLEY WA 99212
Phone:
Lic No:
WASHIR*0660Z
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
5000
Y
5000
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
111.25
4.50
115.75
115.75
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature
Staff Initials
Date
THIS IS NOT A RECEIPT