2004, 06-04 Permit: BLD-04-04493 ResidenceSri°'lane
.0001/alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
NEW SINGLE FAMILY RESIDENTIAL PERMIT
Job Address: 615 S MCMILLAN RD
GREENACRES WA 99016
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
VIKING CONSTRUCTION INC
VIKING CONSTRUCTION INC
2605 W HAYDEN
HAYDEN LAKE, ID 83835
VIKING CONSTRUCTION
2605 W HAYDEN
HAYDEN LAKE ID 83835
Lot:
Blk: Parcel No:
Phone: (208) 762-9106
Phone:
Lic No:
(208) 762-9106
VIKINCI988DJ
Permit #:
Applied:
Issued:
Expires:
BLD -04-04493
06/04/2004
06/28/2004
12/25/2004
Zoning:
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
AIR CONDITIONER 3 - 15 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
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
sfr
166420
1
1
3
1
1
1
1
4
3
1
1
18' 10"
57 X 61
1
3
30
55
5
8
r-3
5-n
1
11952
no
no
3
2
3
5
1
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
AIR CONDITIONER 3 - 15 TON
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
547.58
1,368.95
10.00
10.00
10.00
4.00
30.00
20.00
4.50
18.00
12.00
18.00
30.00
6.00
6.00
6.00
18.00
15.00
2,134.03
2,134.03
0.00
THIS IS NOT A RECEIPT
SpCITY tlF 11ok�
ane
.0000Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04493
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 rightsgranted by any issued p it inure to the property owner.
1, SLE )C1'\ P — 1,ILUr "I L lU Li � ,� S �i
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT