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2004, 05-24 Permit: BLD-04-04430 Remodel*octane� alley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address - Description: Subdivision: Owner: Applicant: Address: Contractor: Address: THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION/REMODEL Application #: BLD -04-04430 411 S MCKINNON ST SPOKANE WA 99212 GUT AND REMODEL INTERIOR RESIDENCE - NEW WINDOWS, SIDING, 32 SQ FT PORCH -OWNER CONTRACTOR LELAND STRUCK LELAND STRUCK 411 S MCKINNON ST SPOKANE, WA 99212 Lot: Blk: Parcel No: Phone: (360) 373-6614 Phone: Lic No: Applied: Issued: Expires: Zoning: 05/24/2004 05/24/2004 11/20/2004 General Information: VALUATION REROOF COST OF PROJECT SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER ELECTRIC HOT WATER TANK WATER USING DEVICE VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON 30000 N 30000 yes no 1 1 2 1 1 1 1 2 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER ELECTRIC WATER HEATER TANK WATER USING DEVICE VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 176.70 441.75 4.50 6.00 6.00 12.00 6.00 6.00 6.00 6.00 20.00 10.00 12.00 712.95 0.00 712.95 THIS IS NOT A RECEIPT s d4 U spokan �,jValley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: RESIDENTIAL ADDITION/REMODEL PERMIT 411 S MCKINNON ST SPOKANE WA 99212 GUT AND REMODEL INTERIOR RESIDENCE - NEW WINDOWS, SIDING, 32 SQ FT PORCH -OWNER CONTRACTOR LELAND STRUCK LELAND STRUCK 411 S MCKINNON ST SPOKANE, WA 99212 Lot: Blk: Parcel No: Phone: (360) 373-6614 Phone: Lic No: Permit #: Applied: Issued: Expires: BLD -04-04430 Zoning: 05/24/2004 05/24/2004 11/20/2004 General Information: VALUATION REROOF COST OF PROJECT SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER ELECTRIC HOT WATER TANK WATER USING DEVICE VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON 30000 N 30000 yes no 1 1 2 1 1 1 1 2 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER ELECTRIC WATER HEATER TANK WATER USING DEVICE VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 176.70 441.75 4.50 6.00 6.00 12.00 6.00 6.00 6.00 6.00 20.00 12.00 702.95 702.95 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/vnll 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. Print Name Staff Initials Sign- .re THIS IS NOT A RECEIPT Date