2004, 03-17 Permit: BLD-04-03797 Addition(ITIO
Sp
,,,,,,,°valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITIONIREMODEL PERMIT
Job Address: 1124 N PIERCE RD
SPOKANE WA 99206-7215
Description: 491 SQ FT MASTER BEDROOM & BATH ADDITION TO RESIDENCE
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
FOSTER, STEVEN E & JENELLE L
FOSTER, STEVEN E & JENELLE L
1124 N PIERCE RD
SPOKANE, WA 99206-7215
Permit #:
Blk: Parcel No: 45162.0992
Phone: (509) 892-1241
Phone:
Lic No:
Applied:
Issued:
Expires:
BLD -04-03797
Zoning:
03/17/2004
03/18/2004
09/14/2004
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
VENTILATING FANS
36668
N
17
18 X 25
1
1
EXISTING
EXISTING
N/A
12+
r-3
5-n
3
125+ X 133+
no
no
1
1
2
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
204.98
512.45
4.50
6.00
6.00
12.00
10.00
755.93
755.93
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.
ci7
Print Name Signa ure Date
Staff Initials
THIS IS NOT A RECEIPT