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2004, 04-09 Permit: BLD-04-04037 DuplexI/ Spokane 4 Malley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT' Permit #: Applied: Issued: Expires: Job Address: 4035 S BOWDISH RD SPOKANE VALLEY WA 99206 Description: NEW DUPLEX W/CARPORTS - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address' COURCHAINE, SAM COURCHAINE, SAM 4029 S BOWDISH RD SPOKANE, WA 99212 Lot: BIk: Parcel No: Phone: (509) 928-2807 Phone: Lic No: BLD -04-04037 Zoning: 04/09/2004 05/07/2004 11/03/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY CURRENT PROPERTY SIZE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER dup 233571 2 2 2 2 2 4 8 2 13'4" 44' X 68' 1 6 45 25 30 35 r-3 5-n 1 132X140 no no 4 4 6 2 Fees: PLAN CHECK FEE BASIC PERMIT FEE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 697.66 1,744.15 20.00 20.00 4.00 80.00 4.50 24.00 24.00 36.00 12.00 12.00 12.00 30.00 2,720.31 2,720.31 0.00 THIS IS NOT A RECEIPT Sp®kane si.�Ualley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Permit #: BLD -04-04037 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 ishvill 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 th roperty owner. Print Name i a re Date Staff Initials THIS IS NOT A RECEIPT