2004, 04-26 Permit: BLD-04-04193 Addition*name
4.00e'rVal.ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
a
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 4308 S HATHERLY CIR
SPOKANE WA 99206-9492
Description: 12 X 24 FAMILY ROOM ADDITION TO EXISTING MOBILE HOME
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
PERRY, MILFORD J
PERRY, MILFORD J
4308 S HATHERLY CIR
SPOKANE, WA 99206-9492
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45334.0324
Phone: (509) 926-6910
Phone:
Lic No:
BLD -04-04193
Zoning:
04/26/2004
04/27/2004
10/24/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
21508
N
13
12 X 24
1
16' 6"
EXISTING
25' 6"
r-3
5-n
2
119 X 96
no
no
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
139.70
349.25
4.50
10.00
1.00
504.45
504.45
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 Kcal laws, codes or ordinances.
Ownership of resulting development rights granted by any issued
Print Name
Staff Initials
$'mi inure
Signature
h, 'pfoperty owns.
THIS IS NOT A RECEIPT