2003, 05-30 Permit: BD03-267 ROWCity of SPOKANE VALLEY
Building, Fire and Public Works Fees Receipt PL.)
Applicant/Business 1' .. 5e �X Permit No.C' 3
Project Name Date
E e Ip P Q •. 9
04
Site Address
Please Receipt the Following:
Check Number
Payer's Name AcN
Address
Receipt Number
BUILDING DEPARTMENT
001.059.322.10.01
001.059.322.10.02
001:059.322.10.03
001.059.32240 0.4
001:059.322:10:06
001.0$9.322.90.01
001.059.345.83.01
001.059.345.83.03
001.059.342.40.02
001.059.237.10.98
001.059.237.10.02
FIRE DEPARTMENT #
001.059.322.10.07
001.059.322.10.08
001.059.322.10.09
001.059.322.10.10
001.059.322.10.11
001.059.322.10.12
001.059.322.10.13
001.059.321.30.00
001.059.342.40.01
001.059.237.10.99
OTHER:
City
Building Permit
Plumbing Permit
Grading Permit
Mechanical Permit
beiimolition Permit
Misc. Permits and Fees
Plans Check Fee
Energy plans check fee
SPECIAL Inspections
Bonds / Deposits
WSBCC Surcharge *
Planscheck fee
Sprinkler plans check
F. A. Plans check
Misc. plans check
Fire Alarm inspections
Sprinkler inspeetions
Misc. Inspections
Fireworks Permit
UFC permit fees
Bonds / Deposit **
PUBLIC WORKS
001.059.322.40.00 Right of Way
001.059.342.40.03 Special Inspections
001.059.237.10.99 Bonds/Deposits (cash)**
TOTAL AMOUNT DUE
* To be sent to Wash. State Building Code Council quarterly.
# 65% of figure to be sent to the Fire Department Quarterly, except bonds etc.
* * Liability Insurance verification may also be required.
Zip
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