2004, 03-18 Permit: BLD-04-03816 RemodelSpokane
40,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
6807 E MONTGOMERY AVE
SPOKANE WA 99212-1428
REMODEL EXISTING LIVING ROOM, KITCHEN, DINING ROOM
OWNER CONTRACTOR
BLAIR THOMEN
Permit #:
Applied:
Issued:
Expires:
BLD -04-03816
03/18/2004
03/18/2004
09/14/2004
Lot: Blk: Parcel No: 35121.6101 Zoning:
BLAIR THOMEN Phone: (509) 928-7624
6807 E MONTGOMERY AVE
SPOKANE, WA 99212-1428
Phone:
Lic No:
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
SINKS
DISHWASHER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
5000
N
5000.
no
no
1
1
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
SINKS
DISHWASHER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
• Total Due:
44.50
111.25
4.50
6.00
6.00
1.00
10.00
183.25
183.25
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.
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Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
_T-/7-07
Date