2004, 06-03 Permit: BLD-04-04483 Addition t
Stioee\''
.000`alley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04483
Job Address: 6610 E 6TH AVE Applied: 06/03/2004
SPOKANE VALLEY WA 99212 Issued: 06/07/2004
Description: 8 X 14 ADDITION- BATHROOM&LAUNDRY ROOM(INCLUDES PLUMBING& Expires: 12/04/2004
MECHANICAL)
OWNER IS CONTRACTOR
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: SMITH,JASMINE
Applicant: SMITH,JASMINE Phone: (509)939-0494
Address: 6610 E 6TH AVE
SPOKANE VALLEY,WA 99212
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 9012 PLAN CHECK FEE 72.50
REROOF N BASIC PERMIT FEE 181.25
CLOTHES WASHER 1 DRYER 10.00
DRYER 1 VENTILATING FANS 20.00
VENTILATING FANS 2 WSBCC SURCHARGE 4.50
DIMENSIONS 8 X 14 TOILETS 6.00
#OF STORIES 1 SINKS 6.00
FRONT SETBACK EXISTING CLOTHES WASHER 6.00
REAR SETBACK 77 Total Calculated: 306.25
LEFT SETBACK N/A Deposits/Receipts: 306.25
RIGHT SETBACK 11
OCCUPANCY GROUP r-3 Total Due: 0.00
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 2
CURRENT PROPERTY SIZE 50 X 150
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 1
SINKS 1
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.
Cj, 05,/r/ •(-h 316{-/—Jihi I%-a Sin( L4h
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT
' I THIS IS NOT A PERMIT
Spo��e Penalties will be assessed for
commencing work without a permit
.,,,,, 0 lley RESIDENTIAL ADDITION/REMODEL
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application #: BLD-04-04483
Job Address: 6610 E 6TH AVE Applied: 06/03/2004
SPOKANE VALLEY WA 99212 Issued:
Description: 8 X 14 ADDITION - BATHROOM&LAUNDRY ROOM (INCLUDES PLUMBING& Expires: 11/30/2004
MECHANICAL)
OWNER IS CONTRACTOR
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: SMITH,JASMINE
Applicant: SMITH,JASMINE Phone: (509)939-0494
Address: 6610 E 6TH AVE
SPOKANE VALLEY,WA 99212
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 9012 PLAN CHECK FEE 72.50
REROOF N BASIC PERMIT FEE 181.25
DIMENSIONS 8 X 14 WSBCC SURCHARGE 4.50
#OF STORIES 1 TOILETS 6.00
FRONT SETBACK EXISTING SINKS 6.00
REAR SETBACK 77 CLOTHES WASHER 6.00
LEFT SETBACK N/A DRYER 10.00
RIGHT SETBACK 11 VENTILATING FANS 20.00
OCCUPANCY GROUP r-3 Total Calculated: 306.25
CONSTRUCTION TYPE 5-n Deposits/Receipts: 0.00
STRUCTURES ON PROPERTY 2
CURRENT PROPERTY SIZE 50 X 150 Total Due: 306.25
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
TOILETS 1
SINKS 1
CLOTHES WASHER 1
DRYER 1
VENTILATING FANS 2
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
t'1 .
Building ,l A f a.
-0411/1 ` .fu
Planning
l
Public Works L(A -ki.y. t,,,..x
'
THIS IS NOT A RECEIPT