2003, 11-03 Permit: BLd-03-02966 RemodelSikikane
.,0•OMilley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 841 S SHELLEY LAKE LN
SPOKANE VALLEY WA 99037
Description: FINISH BASEMENT - BEDROOM, BATH AND STORAGE ROOM
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
DUMAIS, GUY
DUMAIS, GUY
841 S SHELLEY LAKE LN
SPOKANE VALLEY, WA 99037
Blk: Parcel No:
Phone: (509) 926-5672
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -03-02966
Zoning:
11/03/2003
11/03/2003
05/01/2004
General Information:
VALUATION
REROOF
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
VENTILATING FANS
4000
N
no
no
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
38.90
97.25
4.50
10.00
150.65
150.65
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 prQ rty owner.
Print Name
Staff Initials
Signature Date
THIS IS NOT A RECEIPT