2004, 04-19 Permit: BLD-04-04109 Finish BasementSp®lie
alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address
RESIDENTIAL ADDITION/REMODEL PERMIT
1958 S CENTURY LN
VERADALE WA 99037-8332
FINISH BASEMENT - BEDROOM, BATHROOM & HOBBY ROOM
(PLUMBING & MECHANICAL ARE INCLUDED IN THIS PERMIT)
Lot: Blk: Parcel No:
BUCHHOLZ, NORMAN
BUCHHOLZ, NORMAN Phone: (509) 922-0602
1958 S CENTURY LN
VERADALE, WA 99037-8332
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-04109
04/19/2004
04/19/2004
10/16/2004
Zoning:
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
SHOWERS (PER TRAP)
SINKS
VENTILATING FANS
4000
Y
4000
no
no
1
1
1
1
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
SHOWERS
SINKS
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
97.25
4.50
6.00
6.00
6.00
10.00
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.
y� Ownership of resulting development rights granted by any issued permit inure to the pro
/11/,6M H UC/1G/1--
Print Name
Staff Initials
erty owner.
Sig ature
THIS IS NOT A RECEIPT
1/4/ 7-6rV
Date