2004, 01-14 Permit: BLD-04-03408 Remodel � E r
some
,x,,0011 Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03408
Job Address: 414 N WALNUT RD Applied: 01/14/2004
SPOKANE WA 99206-3871 Issued: 01/14/2004
Description: FINISH FAMILY ROOM AND BATHROOM IN BASEMENT AND ADD EXTERIOR Expires: 07/12/2004
DOOR.THIS PERMIT INCLUDES PLUMBING FIXTURES&VENT FAN
Subdivision: Lot: Blk: Parcel No: 45174.2108 Zoning:
Owner: HELM,JASON &KIM
Applicant: HELM,JASON&KIM Phone: (509)921-6619
Address: 414 N WALNUT RD
SPOKANE,WA 99206-3871
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 3500 VENTILATING FANS 10.00
REROOF Y BASIC PERMIT FEE 97.25
SERVED BY SEPTIC SYSTEM no WSBCC SURCHARGE 4.50
WELLS LOCATED ON PROPERTY no TOILETS 6.00
TOILETS 1 SHOWERS 6.00
SHOWERS(PER TRAP) 1 SINKS 6.00
SINKS 1 Total Calculated: 129.75
VENTILATING FANS 1 Deposits/Receipts: 129.75
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 t the rope y owner.
VI,VIA HI, LE, .... ,,......___ i _iii -t4
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT