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2003, 10-14 Permit: BLD-03-02778 Addition over GarageSpokane 1 Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: RESIDENTIAL ADDITION /REMODEL PERMIT 1821 S ADAMS RD VERADALE WA 99037 -9403 2ND STORY LIVING ADDITION OVER EXISTING GARAGE (OWNER IS CONTRACTOR) WALSH ETUX, GALEN Permit #: Applied: Issued: Expires: BLD -03 -02778 10/14/2003 10/14/2003 04/11/2004 Lot: Blk: Parcel No: 45261.1902 Zoning: WALSH ETUX, GALEN Phone: (509) 928 -5862 1821 S ADAMS RD VERADALE, WA 99037 -9403 Contractor: Phone: Address: Lic No: General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 39798 N 22 24 X 28 2 50 83 27 24 r -3 wood no no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits /Receipts: Total Due: 217.10 542.75 4.50 764.35 764.35 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 C-77 /70 Date