2004, 06-16 Permit App: BLD-04-04628 Change of Use*Wane0
,1,,,,•'�'alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 11702 E NORA
SPOKANE WA 99212
Description: CHANGE OF USE GARAGE TO LIVING SPACE - BEDROOM, CLOSET &
STORAGE OWNER CONTRACTOR
Subdivision:
Owner:
Applicant:
Address:
RUSK, JAMES H
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45094.1101
RUSK, JAMES H Phone:
1704 N WILBUR
SPOKANE, WA 99206
Contractor: Phone:
Address: Lic No:
BLD -04-04628
Zoning:
06/16/2004
06/16/2004
12/13/2004
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
1700
N
1700.00
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
24.04
69.25
4.50
97.79
97.79
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 in' re to the
Print Name
Staff Initials
Signariue
THIS IS NOT A RECEIPT
Date