2004, 10-08 Permit BLD-04-07875 Re-RoofSpokane
,iroo*valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
412 N UNIVERSITY RD
SPOKANE WA 99206-5046
RESIDENTIAL TEAR -OFF & RE -ROOF
Permit #: BLD-04-07875
Lot: Blk: Parcel No: 45163.0201
SANDY KAPLAN Phone: (208) 964-4084
SANDY KAPLAN
818 RESIDENCE ST
WALLACE, ID 83873
Phone:
Lic No:
Applied: 10/08/2004
Issued: 10/08/2004
Expires: 04/06/2005
Zoning:
General Information:
VALUATION
REROOF
NON -HEATED
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
2100
Y
N
2100
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
83.25
4.50
87.75
87.75
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.
S A7v bl ILA P L A rJ 1(6u9L-
Print Name Signature Date
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Staff Initials
THIS IS NOT A RECEIPT