2004, 04-29 Permit: BLD-04-04226 AdditionSpokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
RESIDENTIAL ADDITION/REMODEL PERMIT
Job Address: 10303 E BROADWAY AVE
SPOKANE WA 99206-3840
Permit #: BLD -04-04226
Applied: 04/29/2004
Issued: 04/29/2004
Description: 15 X 21 BEDROOM ADDITION Expires: 10/26/2004
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: 45171.1520 Zoning:
Owner: TSUBER, NIKOLAY F & NATALIYA W
Applicant: TSUBER, NIKOLAY F & NATALIYA W Phone: (509) 270-5349
Address: 10303 E BROADWAY AVE
SPOKANE, WA 99206-3840
Contractor:
Address:
Phone:
Lic No:
General Information: Fees:
VALUATION 23524 PLAN CHECK FEE 150.90
REROOF N WSBCC SURCHARGE 4.50
BUILDING HEIGHT TO PEAK 13 BASIC PERMIT FEE 377.25
DIMENSIONS 15 X 21 Total Calculated: 532.65
# OF STORIES 1 Deposits/Receipts: 532.65
FRONT SETBACK NA
REAR SETBACK 50+ Total Due: 0.00
LEFT SETBACK 15.6
RIGHT SETBACK NA
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 2
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no
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 t 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 •cal la s, codes or ordinances.
Ownership of resulting development rights granted by any issued permit
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Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
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