2004, 06-30 Permit: BLD-04-04792 Residence.00.01,7alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
Application #:
Job Address: 1210 S CUSTER ST
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - GAS
Subdivision: Lot:
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
Blk: Parcel No:
Phone: (509) 879-3420
Phone:
Lic No:
(509) 879-3420
LI N DSCI066OW
Applied:
Issued:
Expires:
BLD -04-04792
06/30/2004
01/08/2005
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
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
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
sfr
90120
1
1
1
3
1
1
1
2
2
1
1
28 X 58
1
2
25
66
6
16
r-3
5-b
1
54 X 136
RESIDENCE
no
no
1
1
2
1
Fees:
PLAN CHECK FEE
TYPE II HOOD
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
HEAT PUMP/AIR COND 0 - 3 TON
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
THIS IS NOT A RECEIPT
Total Due:
372.30
10.00
10.00
10.00
2.00
20.00
12.00
930.75
4.50
6.00
6.00
12.00
6.00
6.00
6.00
6.00
18.00
15.00
1,452.55
0.00
1,452.55
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
_/ *CV
Planning
Public Works 64--- C7
Spokane
.valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04792
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 right granted by any issued per inure to property owner.
rint Name
Staff Initials
Signature
t ; -/---: 4 -
Date
THIS IS NOT A RECEIPT