2004, 06-08 Permit: BLD-04-04524 AdditionStiokY1C%!!A1.
�- Malley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
TENANT IMPROVEMENT PERMIT
12218 E LENORA DR
SPOKANE WA 99212
2 -STORY ADDITION TO FOURPLEX - (2) BEDROOMS AND LAUNDRY ROOM
Permit #:
Applied:
Issued:
Expires:
BLD -04-04524
Lot: Blk: Parcel No: 45284.2019 Zoning:
THOSATH, THOMAS R & CAROLJEAN
NORDIC CONSTRUCTION Phone: (509) 951-1386
2915 W SMYTHE RD
SPOKANE, WA 99224
NORDIC CONSTRUCTION
2915 W SMYTHE RD
SPOKANE WA 99224
Phone:
Lic No:
(509) 951-1386
NORDIC*9940S
06/08/2004
06/09/2004
12/06/2004
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
SPRINKLER INSTALLED
FIRE ALARM INSTALLED
SECURITY ALARM INSTALLED
27907
N
25
12 X 17
2
30+
85
N/A
12.5
r-1
5-n
1
90 X 150
no
no
N
N
N
Fees:
PLAN CHECK FEE
WSBCC SURCHARGE
BASIC PERMIT FEE
Total Calculated:
Deposits/Receipts:
Total Due:
274.01
4.50
421.55
700.06
700.06
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 property owner.
6 kfl % !n OS (GT k
Print Name
Staff Initials
Signature
THIS IS NOT A RECEIPT
Date