2004, 03-16 Permit: BLD-04-03781 ResidenceValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address• 1121 S EDGERTON RD
SPOKANE VALLEY WA 99212
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
PATINSKAYA, ALLA
PATINSKAYA, ALLA
4236 E 27TH AVE
SPOKANE, WA 99223
Lot: Blk:
Phone:
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-03781
Parcel No: 45193.0314 Zoning:
(509) 535-0990
03/16/2004
03/19/2004
09/15/2004
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
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
158776
24
60 X 47
1
4
30
63
20
20
r-3
5-w
1
100 X 140
no
no
3
3
4
1
1
2
1
1
1
2
4
1
Fees:
PLAN CHECK FEE
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
Total Calculated:
Deposits/Receipts:
Total Due:
529.66
24.00
6.00
6.00
12.00
15.00
10.00
10.00
2.00
40.00
1,324.15
4.50
18.00
18.00
2,019.31
2,019.31
0.00
THIS IS NOT A RECEIPT
Stiokane
Walley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-03781
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 issued permit inure to the property owner.
ALA PA��ih��4l�A 64iziir/r:.r,
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
03./9 0y
Date
S iokanee
.Mulley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address.
Contractor:
Address:
• THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
1121 S EDGERTON RD
SPOKANE VALLEY WA 99212
NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
PATINSKAYA, ALLA
PATINSKAYA, ALLA
4236 E 27TH AVE
SPOKANE, WA 99223
Lot:
Application #: BLD -04-03781
Applied:
Issued:
Expires:
Blk: Parcel No: 45193 0314
Phone: (509) 535-0990
Phone:
Lic No:
Zoning:
03/16/2004
09/12/2004
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
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
sfr
156976
24
60 X 47
1
4
30
63
20
20
r-3
5-w
1
100 X 140
no
no
3
3
4
1
1
2
1
1
1
2
4
1
Fees:
PLAN CHECK FEE
SINKS
DISHWASHER
CLOTHES WASHER
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
Total Calculated:
Deposits/Receipts:
Total Due:
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Data/
Building H -`
Planning( --,n 1rvttvttw
525.18
24.00
6.00
6.00
12.00
15.00
10.00
10.00
2.00
40.00
1,312.95
4.50
18.00
18.00
2,003.63
0.00
/��, 2,003.63
`"ff.tacL; 50.00
9053. &3
14.Qtl'-- 1-Vl5
0 31
Public Works- /0 aJ"
tchi
THIS IS NOT A RECEIPT