2004, 08-18 Permit: BLD-04-07406 RoofSpo e� e
40,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
11222 E FAIRVIEW AVE
SPOKANE WA 99206-4686
NEW ROOF TRUSSES ON PORTION OF RESIDENCE,EXISTING GARAGE &
BREEZEWAY AND ENCLOSE BREEZEWAY FOR LIVING SPACE (BATHROOM
INCLUDED)
POLLOCK, DENNIS
Permit #:
Lot: Blk: Parcel No: 45092.1201
POLLOCK, DENNIS Phone:
4606 N LILLIAN RD
SPOKANE, WA 99216-1514
Phone:
Lic No:
(509) 994-4452
Applied:
Issued:
Expires:
BLD -04-07406
08/18/2004
08/18/2004
02/14/2005
Zoning:
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
SHOWERS (PER TRAP)
SINKS
VENTILATING FANS
16000
N
17
10 X 26
1
EXISTING
EXISTING
EXISTING
EXISTING
r-3
5-n
1
19500
no
no
1
1
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
SHOWERS
SINKS
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
106.10
265.25
4.50
6.00
6.00
6.00
10.00
403.85
403.85
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 devel 1(61
eent rjnted by any issued per ure to the prope owner.
4✓i /s d ,-,,�.e-i „i- /41/ie(1- K
Print Name Signat
Staff Initials
THIS IS NOT A RECEIPT