2004, 06-11 Permit: BLD-04-04591 ResidenceSficikane
,., 0 Milley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOTA PERMIT
Penalties will be assessed for
commencing work without a peFmit
NEW SINGLE FAMILY RESIDENTIAL
Application #: BLD -04-04591
Job Address: 1209 S CUSTER ST
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
LINDSEY CONSTRUCTION CO
LINDSEY CONSTRUCTION CO
PO BOX 30792
SPOKANE, WA 99223
LINDSEY CONSTRUCTION INC
PO BOX 30792
SPOKANE WA 99223
Lot: Blk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LINDSCI066OW
Applied:
Issued:
Expires:
Zoning:
06/11/2004
12/08/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
HEAT PUMP/AIR COND 0 - 3 TON
sfr
90367
22
28 X 62
2
2
25
56
10
12.5
r-3
5-n
1
no
no
2
2
3
1
1
1
1
3
1
1
1
2
3
1
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Jnitials / Date s
Building
Planning
Public Works
372.30
930.75
4.50
12.00
12.00
18.00
6.00
6.00
6.00
6.00
18.00
15.00
10.00
10.00
2.00
30.00
12.00
1,470.55
0.00
1,470.55
EWED FOR CODE COMPLIANCE
KANE VAL BUILDiNG DIVISION
6//q y /;-1
1
via
P' n'4 '5°
THIS IS NOT A RECEIPT
Siorkane
40,001FMa11ey
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04591
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.
ership of resulting dev lopment rights graced by any issu i permit inu
_111/ /J-1--- 4 1Ae,--
Sature
Print Name
Staff Initials
the proD4rty owner.
THIS IS NOT A RECEIPT
Date