2003, 08-12 Permit: BLD-03-02212 Addition*Wane
., f Val ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 5004 N LILLIAN CT
SPOKANE WA 99212
Description: 210 SQ FT GARAGE ADDITION W/693 SQ FT OF 2ND STORY LIVING SPACE - 2
BEDROOMS, BATHROOM AND LAUNDRY ROOM
OWNER IS CONTRACTOR
Subdivision:
Owner: SINES, CURTIS J & AMY J
Applicant: SINES, CURTIS J & AMY J
Address: 5004 N LILLIAN CT
SPOKANE, WA 99212
Contractor:
Address:
Permit #:
Applied:
Issued:
Expires:
BLD -03-02212
08/12/2003
08/12/2003
02/08/2004
Lot: Blk: Parcel No: 46364.1207 Zoning:
Phone: (509) 927-2738
Phone:
Lic No:
General Information:
VALUATION
REROOF
DIMENSIONS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
CLOTHES WASHER
DRYER
VENTILATING FANS
# OF STORIES
50629
N
21 X 33
EXISTING
48
N/A
13
r-3
5-n
1
no
no
1
1
1
1
1
1
2
2
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
CLOTHES WASHER
DRYER
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
260.30
650.75
4.50
6.00
6.00
6.00
6.00
6.00
10.00
20.00
975.55
975.55
0.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be in
compliance. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Own ip of resulting development rights granted by any issued permit inure to the property owner.
3A L f/0
Applicant
Please print name here
Date
\. v r'
Counter Approval
THIS IS NOT A RECEIPT