2004, 06-10 Permit: BLD-04-04569 RemodelSpokane
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
18903 E MICHIELLI LN
GREENACRES WA 99016-8416
FINISH 1023 SQ FT OF BASEMENT - FAMILY ROOM, (2) BEDROOMS, (2) BATHS
AND LAUNDRY ROOM
SRINIVASULU, BALAJI
Permit #:
Applied:
Issued:
Expires:
( I C,
BLD -04-04569
06/10/2004
06/10/2004
12/07/2004
Lot: Blk: Parcel No: 55083.4605 Zoning:
SRINIVASULU, BALAJI Phone: (509) 464-3555
18903 E MICHIELLI LN
GREENACRES, WA 99016-8416
Contractor: Phone:
Address: Lic No:
General Information:
VALUATION
REROOF
OCCUPANCY GROUP
CONSTRUCTION TYPE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
VENTILATING FANS
5115
Y
r-3
5-n
no
no
3
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
125.25
4.50
30.00
159.75
159.75
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 p
I S�I NiVASuLu
Print Name
Staff Initials
mit inure to the property owner.
61 -
Signature
THIS IS NOT A RECEIPT
OCI Ient
Date l t