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2004, 06-11 Permit: BLD-04-04589 ResidenceSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address• 1210 S LLOYD ST SPOKANE VALLEY WA 99212 Application #: BLD -04-04589 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: LINDSEY CONSTRUCTION CO LINDSEY CONSTRUCTION CO PO BOX 30792 SPOKANE, WA 99223 LINDSEY CONSTRUCTION INC PO BOX 30792 SPOKANE WA 99223 Lot: Blk: Parcel No: Phone: (509) 879-3420 Phone: Lic No: (509) 879-3420 LINDSCI066OW Applied: Issued: Expires: Zoning: 06/11/2004 12/08/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER sfr 91560 1 1 3 1 1 1 2 4 1 1 18 30 X 60 1 3 25 65 6 14 r-3 5-n 1 no no 2 2 3 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: CITY OF SPOKANE VALLEY APPROVED FOR SUBMITTAL Building' 375.10 937.75 10.00 10.00 2.00 40.00 12.00 4.50 12.00 12.00 18.00 6.00 6.00 6.00 18.00 15.00 1,484.35 0.00 1,484.35 ^' "^".ICD FOR CODE COMPLIANCE ;1n1'L'als /Date 1V UILD lDIVISION D It /. Planning Public Worksl'fl i,CrI 0W o7l it ._ PbLlos -e6 3 THIS IS NOT A RECEIPT Sp®kk" e� Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Job Address• 1210 S LLOYD ST SPOKANE VALLEY WA 99212 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address. Contractor: Address: LINDSEY CONSTRUCTION CO LINDSEY CONSTRUCTION CO PO BOX 30792 SPOKANE, WA 99223 LINDSEY CONSTRUCTION INC PO BOX 30792 SPOKANE WA 99223 Lot: Blk: Parcel No: Phone: (509) 879-3420 Phone: Lic No: (509) 879-3420 LINDSCI066OW Permit #: Applied: Issued: Expires: BLD -04-04589 06/11/2004 08/24/2004 02/20/2005 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SINKS DISHWASHER sfr 91560 1 1 3 1 1 1 2 4 1 1 18 30 X 60 1 3 25 65 6 14 r-3 5-n 1 no no 2 2 3 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 375.10 937.75 10.00 10.00 2.00 40.00 12.00 4.50 12.00 12.00 18.00 6.00 6.00 6.00 18.00 15.00 1,484.35 1,484.35 0.00 THIS IS NOT A RECEIPT .00.0Val1ey ipv NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -04-04589 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 Signature Staff Initials THIS IS NOT A RECEIPT "° �i_24—c7 1 Date