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2004, 06-16 Permit: BLD-04-04621 GarageSp®kane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 1624 N GRADY LN GREENACRES WA 99016 21 X 28 GARAGE CARLSON, MARK & SUSAN ACCESSORY BUILDING PERMIT Lot: Blk: Parcel No: HOMEBOYS Phone: 14525 N NEWPORT HWY MEAD, WA 99021 HOMEBOYS 14525 N NEWPORT HWY MEAD WA 99021 Phone: Lic No: (509) 468-1750 HOMEB**033PC Permit #: Applied: Issued: Expires: BLD -04-04621 Zoning: 06/16/2004 06/16/2004 12/13/2004 General Information: VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK FLANKING SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY 11172 11 21 X 28 1 NA 5 NA 20 20 u-1 5-n 1 no no Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE Total Calculated: Deposits/Receipts: Total Due: 20.93 209.25 4.50 234.68 234.68 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/ r to the p perty owner. l iu J l5 `.i3GL 6.19 Date atur Dat Print Name Staff Initials THIS IS NOT A RECEIPT