2004, 09-08 Permit: BLD-04-07595 Finish Basement CITF Of /'1111
Spol�ane
.0000Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07595
Job Address: 316 S SHELLEY LAKE LN Applied: 09/08/2004
SPOKANE VALLEY WA 99037 Issued: 09/08/2004
Description: FINISH BASEMENT FAMILY ROOM AND BEDROOM Expires: 03/07/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: HARTMAN, DON
Applicant: HARTMAN, DON Phone: (509)981-0078
Address: 316 S SHELLEY LAKE LN
SPOKANE VALLEY,WA 99037
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 3500 PLAN CHECK FEE 38.90
REROOF N BASIC PERMIT FEE 97.25
NON-HEATED N WSBCC SURCHARGE 4.50
OCCUPANCY GROUP r-3 Total Calculated: 140.65
CONSTRUCTION TYPE 5-n Deposits/Receipts: 140.65
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no 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 ,:/ley Permit inure to the property owner. 3)The signatory is the property
owner or has permission to represent the property owner in this tr. s-ction. 4)All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are avai:ble,for review at the City of Sp. ane Valley Permit Center. 5)This City of
Spokane Valley Permit is not a permit or approval for any violation if fecleral,state or local laws,c•.es or ordinances.
Ownership of resulting development rights granted by any issue• •erm' inure t. tI. •��erty cw,er.
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Print Name Signature Dat:'
Staff Initials
THIS IS NOT A RECEIPT