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1999, 06-29 Permit App: 99005822 ResidenceProject Number: 99005822 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/99 Page 1 of 3 Project Information: . , . . Permit Use: RESIDENCE W/GARAGE - GAS Contact: DEXTER/GALLERY HOMES Setbacks: Front 20 Left: 5 Right: 5 Rear: 10 Address: 6122 S EAGLE CREST DR. C - S - Z SPOKANE, WA. 99206 Phone: (509) 990-3439 Site Information: Plat Key: 005128 Name: SUN MEADOWS PUD District: F Parcel Number: 45231.1617 SiteAddress: 508 S LUCILLE LN SPOKANE, WA 99216 Location:: SPO Zoning: UR -7 Urban Residential -7 Water District: 010 VERA Owner: Name: GALLERY HOMES INC. Address: 6122 S EAGLE CREST DR SPOKANE, WA. 99206 Hold: Area: 4,721 Sq Ft Width: 50 Depth: 95 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department BUILDING Comments: BUILDING Comments: Review Site Plan Review Plan Review 6 - 3o- sti ENGINEER Approach / Drainage 02-- 0 WS0( (ok/t Comments: UTILITIES Sewer Revic0-12-63 Permits: Comments: Project Number: 99005822 Inv:,] Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/99 Page 2 of 3 Contractor: GALLERY HOME Address: 6122 S EAGLE CRST DR SPOKANE, WA 99206 Building Permit Firm: GALLERY HOMES INC Phone: (509) 921-9756 Building Characteristics Const Category: New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: 37 x 54 Building Sq Ft: Req Parking: Handicap Parking: Description aura, Type Notes GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Building Height: Stories: 1 1184 , Sprinklers: Critical Materials: This Application: Total Project: Sq Ft Valuation Se Ft Valuation 572 $6,864.00 572 $6,864.00 1,184 $73,408 00 1,184 $73,408.00 Totals: 1,756 580,272.00 1,756 $80,272.00 Units 1 1 1 Contractor: RON MORRIS HEATING & A/C Address: 1922 E HOUSTON SPOKANE, WA 99207 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT HOOD -TYPE II Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Fee Amount $773.75 $4.50 $170.23 Permit Total Fees: $948.48 Mechanical Permit Units 1 1 3 3 1 1 1 Firm: RON MORRIS HEATING & A/C Phone: (509) 487-5058 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $3.00 $30.00 $10.00 $10.00 $10.00 $85.00 Project Number: 99005822 Inv: 1 ' Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/99 Page 3 of 3 Contractor: ALPHA PLUMBING & HEATING Address: 5805 E SHARP AVE SPOKANE, WA 99212 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Payment Sununary: .::::;::;::.::> r,:_.. Plumbing Permit Firm: ALPHA PLUMBING & HEATING Phone. (509) 535-0727 Units Unit Desc 2 NUMBER OF 3 NUMBER OF Operator: JDL Printed By: JAS Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $948.48 $85.00 $66.00 NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $18.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 Print Date: Invoice Amount $948.48 $85.00 $66.00 $1,099.48 $1,099.48 Amount Paid $0.00 $0.00 $0.00 $66.00 6/29/99 Amount Owing $948.48 $85.00 $66.00 $0.00 $1,099.48 Notes:::::..:: , [14/O @ �c5/z/GP . ney S P O K A' N E -;', _: Bi,,,'11.."�C 0 U N T Y 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. (0-2-ct— C?cj Parcel No(s): 4S23/ • 3708 Site Address(es). IIso ll --✓. Builder Name C R i t2,t1" AZA) " 'O' OR Owner Name:,Mc J L Q \�9�actA Payment Option Selected (Check One): )(..G FC wo.5 fit; a c.+ �loS,n3 or, 1. ( ) GFC payment received at issuance of Sewer Connecfion Permit by Division ct Utilities I.0 -C ) To 6c pa, k c\05‘t1 2 ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account. Complete one of the following statements. a. Owner's Statement: I, understand that I will be billed fcr the applicable GFC amount in 24 monthly installments T'ne monthly GFC installments will be added to my monthly sewer service charges. Owner's 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 t rs of the property that the GFC charges will be added to the monthly sew service billing con as billing comments Builders Authorized Represe (ative's Signature Date Spokane County, Division of Utilities 1026 W. Broadway • Spokane. WA 99260-01.30 • (509) 477-3604 FAX: (509) 4774715 TDD: (509) 324-3166 GFC Payment Option Form Revised 1/26/99 u tub? Zd-c- ADDRESS. ROAD vnDTH'' FLANK NG. FRONT. --- COMMENTS' REv ',A IPA) P_1' c Lot 8 IS I K.( l S Lma M .,) 3 e1, V ,7 } b 1