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1999, 07-06 Permit App: 99005976 ResidenceProject Number: 99005976 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/6/99 Page 1 of 3 Project Information: Permit Use. RESIDENCE W/GARAGE - GAS Site Information: Setbacks: Front 20 Left: 5 Right: 5 Rear: 10 Contact: DEXTER/GALLERY HOMES Address: 6122 S EAGLE CREST DR C - S - Z SPOKANE WA 99206 Phone: (509) 990-3439 Plat Key: 005128 Name: SUN MEADOWS PUD District: F Parcel Number: 45231.3802 SiteAddress: 405 S LUCILLE LN Spokane, WA USA 99206 Location:: SPO Owner: Name: GALLERY HOMES INC Address: 6122 S EAGLE CREST DR SPOKANE WA 99206 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: 0 Area: 4,755 Sq Ft Width: 50 Depth: 95 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Inforntation: , Department BUILDING Comments: Review Site Plan Review BUILDING Plan Review Comments: ENGINEER Comments: UTILITIES Conunents: Approach / Drainage 7/4tetiarrw.eat Sewer Review Permits: . . Project Number: 99005976 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/6/99 Page 2 of 3 Contractor: GALLERY HOME Address: 6122 S EAGLE CRST DR SPOKANE, WA 99206 Building Permit Finn: GALLERY HOMES INC Phone: (509) 921-9756 Building Characteristics Const Category: New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: 40 x 57 Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type Notes GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Building Height: Stories: 1 1278 Sprinklers: ❑ Critical Materials: 0 This Application: Total Project: Su Ft Valuation Sq Ft Valuation 450 $5,400.00 450 $5,400.00 1,278 $79,236.00 1,278 $79,236.00 Totals: 1,728 $84,636.00 1,728 $84,636.00 Units Contractor: RON MORRIS HEATING & A/C Address: 1922 E HOUSTON SPOKANE, WA 99207 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 1 2 1 3 1 1 Fee Amount $798.75 $4.50 $175.73 $978.98 Finn: RON MORRIS HEATING & A/C Phone: (509) 487-5058 Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $10.00 $12.00 $2.00 $20.00 $30.00 $10.00 $10.00 $104.00 Project Number: 99005976 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/6/99 Page 3 of 3 Contractor: Address: 5805 E SHARP AVE SPOKANE, WA 99212 Plumbing Permit ALPHA PLUMBING & HEATING Firm: ALPHA PLUMBING & HEATING Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER WATER USING DEVICES Payment Summary: Operator: JAS Permit Type Building Pennit Mechanical Permit Plumbing Permit Notes: Units 2 3 1 1 1 1 3 Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: (509) 535-0727 Fee Amount $12.00 $18.00 $6.00 $6.00 $6.00 $6.00 $18.00 $72.00 Printed By: JAS Print Date: 7/6/99 Fee Amount $978.98 $104.00 $72.00 Invoice Amount $978.98 $104.00 $72.00 $1,154.98 $1,154.98 Amount Paid $0.00 $0.00 $0.00 Amount Owing $978.98 $104.00 $72.00 $0.00 $1,154.98 6K 174-"e727., , -'";eK 7G-99 UTILITIES DIVISION N. Bruce Rawls. P.E., Utilities Director A DIVISION OF THE PUBLIC WORKS DEPARTMENT GENERAL FACILITIES CHARGE (GFC) PAYMENT OPTION SELECTION RECORD Date: 140' G/5 Parcel No(s): 4623/. 3Soz Site Address(es): yos 5, LLf c.1 Ic. L� .� Builder Name. C744'07 /kW/5 } AOR Owner Name: Payment Option Selected (Check/One): 1 ( ) GFC payment received at issuance of Sewer Connection Permit by I.0. / , 1 ` Division cf Utrlities 1-0e C pat a'f C\oSt�9. 2. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account. Complete ane of the following statements. a. Owner's Statement: 1• . understand that I will be trilled for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added to my monthly sewer service charges. Owners Signature Date b Builder's Statement: I, understand that because I am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential buyers of the property that the CFC charges will be added to the monthly serer servic !linos as soon as billing comments. Sufic • is ALP t ooze epresentative•s Signature Date Spokane County, Division of Utilities 1026 W. 3roadwav • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 4774715 TDD: (509) 324-3166 GFC Payment Option Form Revised 1/26/99 50 • h 0' Con et ?at` sb Imo AI K Uh 50 L04 .2 m'; . Sun Mewcowt o5 S;