2004, 01-26 Permit: BLD-04-03455 AdditionSpokane
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
RESIDENTIAL ADDITION/REMODEL PERMIT
12715 E MAIN AVE
SPOKANE WA 99216-0995
360 SQ FT ADDITION TO RESIDENCE - BEDROOM AND ENTRY WAY
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
DACH, LYLE & SHELLEY
DACH, LYLE & SHELLEY
12715 E MAIN AVE
SPOKANE, WA 99216-0995
Permit #:
Blk: Parcel No: 45153.2614
45153.2616
Phone: (509) 922-2208
Phone:
Lic No:
Applied:
Issued:
Expires:
BLD -04-03455
01/26/2004
01/26/2004
07/24/2004
Zoning:
General Information:
VALUATION
REROOF
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
26884
N
156"
18 X 18
1
1
32
N/A
N/A
EXISTING
r-3
5-w
3
46,491.85
no
no
1
1
Fees:
PLAN CHECK FEE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
164.58
10.00
1.00
411.45
4.50
591.53
591.53
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.
LLA IE R V ACF4 P
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
t / Z 6/04/
Date