2004, 06-18 Permit: BLD-04-04638 Barn Loft & BathroomSpokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
RESIDENTIAL ADDITION /REMODEL PERMIT
428 N ADAMS RD
SPOKANE VALLEY WA 99037
FINISH LOFT AREA IN EXISTING BARN - ADD NEW FIXTURES TO BATHROOM
AND HEAT
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
MERTON E BOLLMAN
KEN WILSON CONSTRUCTION
5729 S FERRALL ST
SPOKANE, WA 99223
KEN WILSON CONSTRUCTION
5729 S FERRALL ST
SPOKANE WA 99223
Bik: Parcel No:
Phone: (509) 953 -8384
Phone: (509) 448 -3411
Lic No: KENWIC*000KW
Permit #:
Applied:
Issued:
Expires:
BLD -04 -04638
06/18/2004
06/18/2004
12/15/2004
Zoning:
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
SINKS
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
VENTILATING FANS
1000
Y
1000
no
no
1
1
1
1
1
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
SINKS
FUEL BURNING APPL <= 100,000
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits /Receipts:
Total Due:
69.25
4.50
6.00
6.00
15.00
1.00
10.00
111.75
111.75
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 permi inuf.e-th the property •wner.
rant Name • nat'- Date
Staff Initials
THIS IS NOT A RECEIPT
/d y