2004, 08-02 Permit:BLD-04-07204 Relocate ResidenceL7TV OF
1pk
Slpane
.000 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RELOCATION PERMIT
10912 E FAIRVIEW AVE
SPOKANE VALLEY WA 99206
RELOCATE RESIDENCE ON FULL BASEMENT AND ADD AN ATTACHED
GARAGE
CAMPBELL RENTALS LLC
CAMPBELL RENTALS LLC
3105 E BOONE AVE
SPOKANE, WA 99202-
CAMCO CONSTRUCTION INC
3105 E BOONE AVE
SPOKANE WA 99202 -
Lot:
Blk: Parcel No:
Phone: (509) 536-1818
Phone:
Lic No:
(509) 536-1818
CAMCOCI062CB
Permit #:
Applied:
Issued:
Expires:
BLD -04-07204
Zoning:
08/02/2004
08/03/2004
01/30/2005
General Information:
# OF INSPECTION HOURS
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
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
1
26680
17
52' 9" X 38' 6"
1
4
30
61' 6"
5
8' 3"
r-3
5-n
1
66 X 155
no
no
1
1
1
1
1
2
1
1
2
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
RELOCATION INSPECTION FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
164.58
411.45
60.00
4.50
6.00
6.00
6.00
6.00
6.00
12.00
15.00
10.00
2.00
10.00
719.53
719.53
0.00
THIS IS NOT A RECEIPT
crry or �1/�"
Spokane
.0001F`alley
1
RELOCATION PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07204
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 i to the property ner
Print Name
Staff Initials
/(
Si ature
THIS IS NOT A RECEIPT