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2003, 12-01 Permit: BLD-03-03170 Play Pavilion4 , .Fvalley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: 3416 S FOX CT SPOKANE WA 99212 PLAY PAVILION (OWNER IS CONTRACTOR) ACCESSORY BUILDING PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45331.0905 ROSS, STEPHEN/ROBINSON,SHERRI ROSS, STEPHEN/ROBINSON,SHERRI Phone: (509) 927-4931 3416SFOX CT SPOKANE, WA 99212 Contractor: Phone: Address: Lic No: BLD -03-03170 Zoning: 12/01/2003 12/01/2003 05/29/2004 General Information: VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 4332 12 18 X 14 1 N/A 5 5 EXISTING u-1 wood 3 no no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 11.13 111.25 4.50 126.88 126.88 0.00 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. Print Name Staff Initials KED &Arf\__ Signature Date Ial, IQ0g3 THIS IS NOT A RECEIPT