2004, 05-12 Permit: BLD-04-04337 Finish Basement r�Tv ar �1/ rte � s
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4000001/Tdlley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04337
Job Address: 15702 E 21ST CT Applied: 05/12/2004
VERADALE WA Issued: 05/12/2004
Description: BASEMENT FINISH- 135 SQ FT-BEDROOM Expires: 11/08/2004
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: BISCHOFF,TODD&JANET
Applicant: BISCHOFF,TODD&JANET Phone:
Address:
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 1500 BASIC PERMIT FEE 69.25
REROOF N WSBCC SURCHARGE 4.50
SERVED BY SEPTIC SYSTEM no Total Calculated: 73.75
WELLS LOCATED ON PROPERTY no Deposits/Receipts: 73.75
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.
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Ownership of resulting develo ent rights granted by any issued ermit inure to the pro a owner.
CG,
Print Name Signature late
Staff Initials
THIS IS NOT A RECEIPT