2004, 04-30 Permit: BLD-04-4241 Basement AdditionValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address•
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
1505 S EVERGREEN RD
SPOKANE VALLEY WA 99037
FINISH BASEMENT LIVING ROOM, STORAGE ROOM, PLAY ROOM,
BATHROOM, UTILITY ROOM AND LAUNDRY ROOM
Lot: Blk:
FOLSOM, TODD A & ELEANOR
FOLSOM, TODD A & ELEANOR Phone:
1505 S EVERGREEN RD
SPOKANE VALLEY, WA 99037
Phone:
Lic No:
Permit #:
Parcel No: 45233.2002
(509) 928-6191
Applied:
Issued:
Expires:
BLD -04-04241
04/30/2004
04/30/2004
10/27/2004
Zoning:
General Information:
VALUATION
REROOF
DIMENSIONS
# OF BEDROOMS
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
CLOTHES WASHER
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
5600
N
1120SQFT
2
yes
no
1
1
1
1
1
1
3
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
CLOTHES WASHER
SEWAGE EJECTOR
FUEL BURNING APPL <= 100,000
GAS PIPING
DUCT SYSTEM
Total Calculated:
Deposits/Receipts:
Total Due:
50.10
125.25
4.50
6.00
6.00
6.00
6.00
6.00
15.00
3.00
10.00
237.85
237.85
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 prop owner.
Cl eak(Or Som h %Lan
Print Name ature
Staff Initials
THIS IS NOT A RECEIPT