1004, 03-23 Permit: BLD-04-03860 RemodelSpokane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
847 E SHELLEY LAKE LN
VERADALE WA 99037
FINISH BASEMENT - (3)BEDROOMS, (2)BATHROOMS & REC ROOM
GEORGE H WHITE INC
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Permit #: BLD -04-03860
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45241.2605 Zoning:
HERSEY, PAUL Phone: (509) 928-4797
14314 E 6TH AVE SUITE B
SPOKANE VALLEY, WA 99216-2113
HERSEY, APUL
14314 E 6TH AVE SUITE B
SPOKANE VALLEY WA 99216-2113
Phone:
Lic No:
(509) 928-4797
HERSEP*984P8
03/23/2004
03/23/2004
09/19/2004
General Information:
VALUATION
REROOF
COST OF PROJECT
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
URINALS
TUBS
SINKS
7500
Y
7500
no
no
2
1
1
3
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
URINALS
TUBS
SINKS
Total Calculated:
Deposits/Receipts:
Total Due:
153.25
4.50
12.00
6.00
6.00
18.00
199.75
199.75
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 pit inure to a ro erty owner.
l Her—se (i
Print Name / Signature
Staff Initials
THIS IS NOT A RECEIPT
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Date