2006, 10-13 Permit App: 06004122 ResidenceO 1 26 2006 09:30 FR
Project *St n fiber: 06004122 Inv: 1
TO 3241567 P.01/03
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Pro'ect I h rormation:
Date: 10/13/2006 Page 1 of 2
Permit CJs:: SFR, GAS HEAT, ON SEPTIC Contact: MARICHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY LAKE, WA 99019
Setback:: Front Left Right: Rear: Phone: (509) 927-1437
Group Name:
Site In1or n salian: Project Name:
Plat I:e y: CONV Name: GRANDVIEW ACRES District: H
P art :el Number: 45043.0715 Block; Lot:
l;iteAddress: 11209 E EMPIRE AVE
Location:: CSV
Zoning: AGRI
Water District:
Owner: Name: MARKC1•IAM HOMES, INC
Address; PO BOX 610
LIBERTY LAKE, WA 99019
Mold: ❑
Area: .00 Acres Width: 75 Depth: 300 Right Of Way (it): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review In.f nmation:
Flo H I Plain
Bui:ding Plan Review
Rei"`:?';± > ,c t;:,,.
Originally Released: 10/13/2006 13y: amblake
D ri,1 way/Approach
••�'S*,:!'''l'•k;:;rv'2^'f�'�;''.,`'.`.!;t,.;�^� fir...
eas' e���y,7y�'1:,J /__ �..i: rf�` s: �1:.: 1;: y+.. �. � yp� •1w! 5; '�jSu"'..�,': ; :.
Sem h: Sys Review
Lan, li Ise/Zoning/HE Conditions
Opera o r. AMB Printed By: .q ,MB
Print Date: 10/13/2006
Project Number: 06004122 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC Contact: MARKHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY LAKE, WA 99019
Setbacks: Front Left: Right: Rear: . Phone: (509) 927-1437
Group Name:
Site Information: Project Name:
Date: 10/26/2006 Page 1 of 4
Plat Key: CONV Name: GRANDVIEW ACRES
District: H
Parcel Number: 45043.0715
Block: Lot:
SiteAddress: 11209 E EMPIRE AVE
Location:: CSV
Zoning: AGRI
Water District:
Area: .00 Acres
Owner: Name: MARKHAM HOMES, INC
Address: PO BOX 610
LIBERTY LAKE, WA 99019
Hold: ❑
Width: 75 Depth: 300 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr. of Dwellings: 0
Review Information:
Review
Flood Plain
Released By. , ...
Building Plan Review
Originally Released: 10/13/2006 By: amblake
Released B
Driveway/Approach
Originally Released: 10/16/2006 By: TMELBOU
Released By
Septic Sys Review
Originally Released: 10/17/2006 By: amblake
-Released
`Okl—1 ID`310\) \\3\ ) '1 .-7_1A1.`(e
�,w
Operator: AMB Printed By: AMB Print Date: 10/26/2006
Project Number: 06004122 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2006 Page 2 of 4
Landuse/Zoning/HE Conditions
Permits:
•Released By
Originally Released:
10/13/2006 By: MBASINGE
Contractor: MARKHAM HOMES INC
Address: 2510 N. PINES, SUITE 203
SPOKANE, WA 99206
Item Description
APPROACH -CONST IN ROW
Contractor: MARKHAM HOMES INC
Address: 2510 N. PINES, SUITE 203
SPOKANE, WA 99206
Description Grp Type
1&2 FAMILY R-3 VB
DECK OPEN R-3 VB
GAR WOOD U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Operator: AMB
Notes
Approach
Firm: MARKHAM HOMES INC
Phone: (509) 927-1437
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: MARKHAM HOMES INC
Phone: (509) 927-1437
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,448 $125,063.76 1,448. $125,063.76
184 $2,760.00 184 $2,760.00
486 $9,234.00 486 $9,234.00
Totals: 2,118 $137,057.76 2,118 $137,057.76
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Printed By: AMB
Permit Total Fees:
Fee Amount
$1,206.55
$4.50
$482.62
$1,693.67
Print Date: 10/26/2006
Project Number: 06004122 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2006 Page 3 of 4
Contractor: COMFORT MECHANICAL
Address: PO BOX 23924 Phone: (509) 464-1180
SPOKANE, WA 99228
Mechanical Permit
Firm: COMFORT MECHANICAL CONT
Item Description
DUCT SYSTEMS
VENTILATING FANS
HOOD - TYPE I
CLOTHES DRYER
RANGE
Contractor: C & K PLUMBING
Address: 5231 W NAVAJO
SPOKANE, WA 99208
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS '•
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER PIPING - DWV
Units
1
4
1
1
1
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$40.00
$50.00
$10.00
$10.00
$120.00
Firm: C & K PLUMBING
Phone: (509) 489-3906
Units Unit Desc
2 NUMBER OF
4 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Operator: AMB Printed By: AMB
Fee Amount
$12.00
$24.00
$12.00
$12.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $96.00
Print Date: 10/26/2006
Project Number: 06004122 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2006
Notes:._:
Page 4 of 4
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Disclaimer:
Fee Amount
$50.00
$1,693.67
$120.00
$96.00
Invoice Amount
$50.00
$1,693.67
$120.00
$96.00
$1,959.67 $1,959.67
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$50.00
$1,693.67
$120.00
$96.00
$0.00 $1,959.67
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB
Print Date: 10/26/2006
Project Number: 06004122 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR, GAS HEAT, ON SEPTIC Contact: MARKHAM HOMES, INC
Address: PO BOX 610
C - S - Z: LIBERTY LAKE, WA 99019
Setbacks: Front Left: Right: Rear: Phone: (509) 927-1437
Group Name:
Project Name:
Site Information:
Date: 10/13/2006 Page 1 of 2
Plat Key: CONV Name: GRANDVIEW ACRES
District: H
Parcel Number: 45043.0715
Block: Lot:
SiteAddress: 11209 E EMPIRE AVE
Location:: CSV
Zoning: AGRI
Water District:
Owner: Name: MARKHAM HOMES, INC
Address: PO BOX 610
LIBERTY LAKE, WA 99019
Hold: ❑
Area: .00 Acres Width: 75 Depth: 300 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review Information:
Review
Flood Plain
Released By: r
Originally Released:
Building Plan Review
10/13/2006 By: amblake
Driveway/Approach
ea ed
Septic Sys Review
tt i'lt lit\ao\b(, to 1 (q€
ReleasedB
Landuse/Zoning/HE Conditions
Operator: AMB
Printed By: AMB
Print Date: 10/13/2006
11/17/2006 11:14 5093241567
November 9, 2006
Markham Homes Inc
P.O. Box 610
Liberty Lake WA 99019
SRHD EHS PAGE 01
p VI/
1/4J #(4/
‘1 120 q 3 D
v ca kc
1 a
W\OJGuLA-
NOTE: THIS IS T A PERMIT. PLEASE READ THE
RE: SEWAGE DISPOSAL REPORT FOR PARCEL NUMB
IN S
APPLICATI
ADD
SIT
# 0.-8804 BEC
C.C. reside
SS: 11209 E Eakpire'Road
EVALUATION DATE: November 8
1101 West College Avenue
Spokane, WA 99201-2095
509.324.1500 I ru
500.324.1484 TDD
www.SRHD.org
NT CAREFULLY.
ON
e Spokane Regional Health District Rules and Regulations 1 -Site Sewage Systems,
aim -1:04.220 (2)(a), SRHD has completed a site evaluation at the ab location. This agency
has r ewed the proposed OSS preliminary design submitted by your Licensed Design Pr ssional for the
a. e referenced project. We have found the preliminary design incomplete. Contact your de ':n professional
or any additional soil / design requirements which may apply.
As required un
h20$
i
\--i\RAL1 \fiDISA NVe
910V f\ 'Qc4cm\c-
The \ • GOA \-K--\(
DESIG
OPERA
malty require a sandlined pressure bed. Soil type is
es not meet density requirements. The lot is listed
1 a minimum lot size of 0.5 acres is required.
luired to be applied for to consider the design prop
lude density issue as well as system size and ty
ce can issue the septic
1 A soil. As
being 20,480
sal. Waiver
A $70 fee is
Cistem design must be submitted by your licensed. design
must include testhole data generated by your designer. Please
lecialist spend a majority of their time doing field evaluations.
[I—An-on-going service secontract for the proposed septic system is required. Contact your Design Professional for
specifications. Notification will also be attached to the property deedes part of the permit process.
NOU 17 2006 11:37
5093241567 PAGE.01
11 / 1 ! / LnUb 11:14 71:77.1L417b (
November 9, 2006
Markham Homes Inc
P.O. Box 610
Liberty Lake WA 99019
r
SPOKANE ��NH
H
f► I s I' n 1 C i
1101 West College Avenue
Spokane, WA 992014095
509.324.1500 roc
509.324.1404 too
www.SRHO.arg
NOTE: THIS IS NOT A PERMIT. PLEASE READ THE FOLLOWING INFORMATION CAREFULLY.
RE: SEWAGE DISPOSAL REPORT FOR PARCEL NUMBER 45043.0715
IN SPOKANE COUNTY, WASHINGTON
APPLICAT19W# 06-8804 (BECK, C.C.) resident':
ADDSS: 11209 E Empire Road
SIT ]✓VALUATION DATE: November 8
As required un
h 20
The n information is required before our office can issue the septic
DESIGN REVIEW
e Spokane Regional Health District Rules and Regulations • 1 -Site Sewage Systems,
ionl.04.220 (2)(a), SRHD has completed a site evaluation at the ab• location. This agency
ha r ewed the proposed OSS preliminary design submitted by your Licensed Design Pr• -ssional for the
a• e referenced project. We have found the preliminary design '
or any additional soil / design requirements which may apply.
Additional Comments: 1.
Site would normally require a sandlined pressure bed. Soil type is
such the lot does not meet density requirements. The lot is listed
square feet, and a minimum lot size of 0.5 acres is required.
2. A waiver is required to be applied for to consider the design prop
will need to include density issue as well as system size and ty
required.
l A soil. As
being 20,480
sal. Waiver
A $70 fee is
[) Two complete copies of your on-site sewage system design must be submitted by your licensed design
professional to our office for review. The design must include testhole data generated by your designer. Please
allow several days for our review, as our health specialist spend a majority of their time doing field evaluations.
OPERATION AND MAINTENANCE
fi An on-going service contract for the proposed septic system is required. Contact your Design Professional for
specifications. Notification will also be attached to the property deed as part of the permit process.
NOV 17 2006 11:37
5093241567 PAGE.01
11/17/2006 11:14 5093241567
/ Markham
age 2
App #06-8804
November 9, 2006
FEES
SRHD EHS
PAGE 02
[J Submit the additional fees of $X50, for installation permit with designer inspection. Other: Fees will depend
on type of system.
NOTE: Before proceeding with your project you must contact your local building and planning department to
determine if Critical Areas Ordinance, Flood Zone, etc. could impact your property development, including the
on-site sewage system.
REVIEW QF INFORMATION SUBMITTED TO OUR OFFICE IS REQUIRED PRIOR TO PERMIT
ISSUANCE, YOUR SEWAGE SYSTEM PERMIT AND BUIJ.DING APPROVAL RELEASE CANNOT BE
FINALIZED UNTIL TIS REVIEW RAS BEEN ACCOMPLISI1ED BY APPROPRIATE HEALTH
SPECIALIST.
Your application is valid for one year from the application date of October 26, 2006. if the above items are not
accomplished within that time period, the application will be voided. The application can be renewed one time for a
$100.00 fee if accomplished within 2 years of the original application date. For safety reasons, please fill in the
testholes if additional inspections are not required.
Please contact me at (509) 324-1458 if you have any questions concerning your project.
Sincerely,
ENVIRONMENTAL HEALTH DIVISION
Wilfred D Little III
Environmental Health Specialist 11
C: Metro .Engineering
206 rrvd Uttic / Beck / paw
206 reviscd 11-7-06
ND) 17:2006 11 38
5093241567 PAGE.02
Spokane
Valley
Community Development
D)ECEI1WE
Permit Center
11707 E Sprague Ave, Suite
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-003I1 D
www.spokanevallev.org
OCT 12 2
Residential Construction
Permit Application
HERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS
ASSESSORS PARCEL NO: 4.6-04s00713- LEGAL DESCRIPTION: I -- °I4 8 LK . 4 ae-w Ac re.s
BuildingOwner:
Name: Mai.-Lkow, I—Iofrle,.S, k
Address: �, O —20 X 6 io
City: L;b 4 7 LcL € State:wA . Zip: vtO1q
Phone: eft _ 11-1-3.. Fax: c:42..-/ — 2'E' 16
Contact Person
Name:
Phone: 2 —' 216 256 8
Describe the scope of work in detail:
.Contractor:
Name: M prk k .0.1 40 Mes, Inc.
Address: ' 0 -�,pX 610
I.
[_;(=,,__{_City:[_;(=,,__{_7 Le:,, k State: W. A , Zip: .1,70 ?
Phone: c — 1 ti_3 , / Fax: a127 —.2 s r 6
Contractor Lic No _�4,.. e xp Date: 3 — 31 — 2ocig
City Business Lic. No:
Cost of Project: $ /80,000
NcAV +acs,'cfee44c7f - ome
**************The following MUST be complete: (write N/A if not applicable)"""""""""*""""""****
HEIGHT TO PEAK:
/
DIMENSIONS:
ii -4'4" X S2'
# OF STORIES:
�T�OIAL HABITABLE SPACE:
Hs- 44F5 --Q. Pr -
MAIN FLOOR TO S.Q.
FTG: / ci� Q
IL.r!gi SQ. FT:
2"D FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
Lf , S0. FT.
DECK/COV. ATI SQ. FTG:
if .ZSCJ SQ,S'Fr_
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:3
CONSTRUCTION TYPE:
HEAT SOURCE: n'
/�
"►�t5 �vrCect Hr-
SEWER OR SEPTIC?
s-EPriC
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: 6) .P_la . s or additional information may be required to be submitted, and subsequently approved before
this application can bej rroocessed:
/
Signature
Method of Pa
❑ Cash Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
t
Date
Authorized Signature:
REVISED 8/25/2005
Permit Center
Spokane 1 1707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development ‘vivtivspokonevallcv.ore
Mechanical Permit Application
alley
11
PERMIT NUMBER:
PERMIT FEE:
Commercial esidential
SITE ADDRESS:
4So43. o4 -LS
BuildingOwner
-
Name:.
Mala, ",G71/1/1. /-Io e /r7 C. •
Phone: c.12 -143
Fax:
OTy� ^.Z8l�
Address:
,
p. O. ,Ox 6 /O
City: Ll6cr-4i Lgice
State:
til/ A , Zip. Clc 0/7
Contiactor
Name:
/ -�-/ {�
C'O✓Y1-C, �J/f /t/lecAe/l/II Go., I
Phone: 612..8 -020 -
Fax:
Gig_6 _69,-.702
Address:
(.7 O . %c,x g
City: tree 7c7r c-re'S
State:
(/v Zip: CYrGt:2% 6
License No:
Cx24f4 r0 $6t7�8 lib
City Business Lic:
Contact
Name:
/i
Phone: Zg -1f9(9
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
825.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
1
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
4-
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
•
•
Permit Center
S " U1 ine 11707 E Sprague Ave, Suite 106
.100001/21103T Spokane Valley, WA 99206
y (509)688-0036 FAX: (509)688-0037
Community Development www spokanevallev.nrt;
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercialsidential
SITE ADDRESS:
POrcel : Lt.5o4Eo 0:115
Quilding Owner
. ,
..
Name:
% %OWIe��,
/✓(G�I'K etN't
r> -7
I !?G Phone: ��h-1- — 14-,j :I- Fax:
y
C/� - -2..e f 6
Address:
Po . ebx bio
City: �Ler4"y e State:
(A/A , Zip: 0761Q / f
Contractor
.
Name:
C s �r'UW76'
Phone: -68 — 52/Ci_ Fax:
6 —n526
Address:
14/ 5 -2-g) NA It N/
City: S' 01, an Stale:
A Zip. G1q2DR
License No:
G (_ FL e �1=q4 OC-4
City Business Lic:
Contact
Name:
v1) , I
CilriS +� �S2Y7
Phone:68 -- S.g/9
/•
i—
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
z
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
2-
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA 0 MC EXPIRES:
Card# VIN:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
• GRANDVIEW ACRES
LOT 7 BLK. 4
OCTOBER 3, 2006
N
GRANDVIEW ACRES
LT.7 BLK. 4
20,480 SQ.FT.
(PARCEL -45043.0715)
PLANNING DEPT. APPRO
BY:
DATE' /°//.3/o6
.PGH\3
0
SCALE IN FEET
0
O
N
N)
11'8"
COVERED PATIO
/
R.S.
CUSTOM
GARAGE
64.00'
h;. h;Y1PIKh' WA Y
0
O
O
N
LOT BOUNDARY
40 60 MARKHAM HOMES, INC.
P.0 BOX 610
LIBERY LAKE, WA 99019
(509) 927-1437