2004, 03-08 Permit: BLD-04-03713 Change of Userrrk or .,�,
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Spokane
,./i %Hey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
CHANGE OF USE PERMIT
526 S KOREN RD
SPOKANE VALLEY WA 99212
DEMOLISH 300 SQ FT OF EXISTING RESIDENCE AND CONVERT REMAINING
TO GARAGE
Lot: Bik: Parcel No:
ROWAND, PATRICK
ROWAND, PATRICK Phone: (509) 534-3180
526 S KOREN RD
SPOKANE VALLEY, WA 99212
Contractor: Phone:
Address: Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-03713
Zoning:
03/08/2004
03/08/2004
09/04/2004
General Information:
USE CLASSIFICATION
1
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
67.00
4.50
71.50
71.50
0.00
Conditions of ALL REQUIREMENTS OF THE SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY SHALL BE MET.
Approval:
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 inure to the property owner.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date
crrt nra
ne
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
CHANGE OF USE PERMIT
526 S KOREN RD
SPOKANE VALLEY WA 99212
DEMOLISH 300 SQ FT OF EXISTING RESIDENCE AND CONVERT REMAINING
TO GARAGE
ROWAND, PATRICK
ROWAND, PATRICK
526 S KOREN RD
SPOKANE VALLEY, WA 99212
Permit #: BLD -04-03713
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
Phone: (509) 534-3180
Contractor: Phone:
Address: Lic No:
03/08/2004
03/08/2004
09/04/2004
General Information:
USE CLASSIFICATION
1
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
67.00
4.50
71.50
71.50
0.00
Conditions of ALL REQUIREMENTS OF THE SPOKANE COUNTY AIR POLLUTION CONTROL AUTHORITY SHALL BE MET.
Approval: •
l l Lq )D4 0_,(C CD 6/L05-
'3h/0$
/L05.`3h vJ e w E)cp (te.* Dom_
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 property owner.
Date
rint ame Signature
Staff Initials
THIS IS NOT A RECEIPT