2003, 10-16 Permit: BLD-03-02795 Addition*Wane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
302 S UNION RD
SPOKANE WA 99206-5371
8 X 8 ADDITION TO LIVING ROOM (SEE PERMIT #BLD -03-2423)
(REVISED CONTRACTOR TO MENDOZA CONSTRUCTION 12/23/03 PER
OWNER)
MEDLEN, ORVILLE R
Permit #:
Lot: Blk: Parcel No: 45211.0903
MEDLEN, ORVILLE R Phone: (509) 927-1179
302 S UNION RD
SPOKANE, WA 99206-5371
MENDOZA CONSTRUCTION
1818 W 9TH AVE
SPOKANE WA 99204
#3
Phone:
Lic No:
(509) 747-0858
MENDOCC995QN
Applied:
Issued:
Expires:
BLD -03-02795
10/16/2003
10/16/2003
04/13/2004
Zoning:
General Information:
VALUATION
REROOF
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
CONSTRUCTION TYPE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
4307
N
8X8
1
EXISTING
EXISTING
EXISTING
EXISTING
5-w
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
44.50
111.25
4.50
160.25
160.25
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.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
/,-Z 3 O
Date
Spokane
.,,,•';Malley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
RESIDENTIAL ADDITION/REMODEL PERMIT
302 S UNION RD
SPOKANE WA 99206-5371
8 X 8 ADDITION TO LIVING ROOM (SEE PERMIT #BLD -03-2423)
(OWNER IS CONTRACTOR)
MEDLEN, ORVILLE R
Permit #:
Applied:
Issued:
Expires:
Lot: Elk: Parcel No: 45211.0903
MEDLEN, ORVILLE R Phone: (509) 927-1179
302 S UNION RD
SPOKANE, WA 99206-5371
Contractor: Phone:
Address: Lic No:
BLD -03-02795
Zoning:
10/16/2003
10/16/2003
04/13/2004
General Information:
VALUATION
REROOF
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
CONSTRUCTION TYPE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
4307
N
8X8
1
EXISTING
EXISTING
EXISTING
EXISTING
5-w
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
44.50
111.25
4.50
160.25
160.25
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 fed- al, state or local laws, codes or ordinances.
Ownership of resulting development rights granted by any sued permi
Print Name
tk 07
Staff Initials
i4 4:D LL
THIS IS NOT A RECEIPT
/6 / OJ
Date