2004, 02-04 Permit: BLD-04-03504 RemodelSpokane e�
valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 6812 E MONTGOMERY AVE
SPOKANE WA 99212-1428
Description: KITCHEN REMODEL - REMOVING 2 INTERIOR WALLS, REPLACING VENT FAN
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
NORRIS, S R & J L
SUSEDIK BUILDERS
14743 ARBOR ST
RATHDRUM, ID 83858
SUSEDIK BUILDERS
14743 ARBOR ST
RATHDRUM ID 83858
Permit #:
Blk: Parcel No: 35124.0801
Phone: (509) 869-6210
Phone: (509) 869-6210
Lic No: SUSEDB*003NA
Applied:
Issued:
Expires:
BLD -04-03504
02/04/2004
02/04/2004
08/02/2004
Zoning:
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
VENTILATING FANS
13200
N
no
no
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
94.90
237.25
4.50
10.00
346.65
346.65
0.00
Conditions of SCAPCA REG'S MUST BE MET
Approval:
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 it in to property owner.
t10t d 't
/Print Name
Staff Initials
Signature Date
THIS IS NOT A RECEIPT