2004, 07-15 Permit: BLD-04-07081 Finish Basement �►pQ�►,�.i1� �
4,00.0;1 .11cy RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07081
Job Address: 1624 N POTOMAC Applied: 07/15/2004
GREENACRES WA 99016 Issued: 07/15/2004
Description: FINISH BASMENT Expires: 01/11/2005
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: OTA, BRENT Y/MILLA,STEPHANIE
Applicant: OTA, BRENT Y/MILLA,STEPHANIE Phone:
Address: 1624 N POTAMAC LN
GREENACRES,WA 99016
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 2500 PLAN CHECK FEE 33.30
REROOF N BASIC PERMIT FEE 83.25
SERVED BY SEPTIC SYSTEM no WSBCC SURCHARGE 4.50
WELLS LOCATED ON PROPERTY no TOILETS 6.00
TOILETS 1 TUBS 6.00 ---
TUBS
TUBS 1 SINKS 6.00
SINKS 1 VENTILATING FANS 10.00
VENTILATING FANS 1 Total Calculated: 149.05
Deposits/Receipts: 149.05
Total Due: 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.
\��, �i�/ �'y ���� 7 (�
�I Y�ANU`LS? G V l/� �� uLV r_VSIL �� (� Da e
Print Name Signature
S
Staff Initials
THIS IS NOT A RECEIPT