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2004, 06-28 Permit: BLD-04-04755 CarportSpokane .0.0Malley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION /REMODEL PERMIT Job Address: 18925 E BALDWIN LN GREENACRES WA 99016 Description: 12 X 42 CARPORT Subdivision: Owner: Applicant: Address: Contractor: Address: Lot: Blk: Parcel No: PHILLIPS, ANDREW & SHANNON PHILLIPS, ANDREW & SHANNON Phone: (509) 892 -3889 18925 E BALDWIN LN GREENACRES, WA 99016 Phone: Lie No: Permit #: Applied: Issued: Expires: BLD -04 -04755 Zoning: 06/28/2004 06/28/2004 12/25/2004 General Information: VALUATION REROOF DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 7560 N 12 X 42 1 N/A 35+ EXISTING EXISTING u -1 5 -n no no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits /Receipts: Total Due: 38.31 153.25 4.50 196.06 196.06 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 issue er it inure to the proper'typwner. Print Name Staff Initials Signature THIS IS NOT A RECEIPT z Date