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2004, 06-26 Permit: BLD-04-04722 ResidenceCITY Clr ane ./0Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 • NEW SINGLE FAMILY RESIDENTIAL PERMIT Job Address: 626 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 -04-04722 06/26/2004 07/07/2004 01/03/2005 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE 11 HOOD 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 SINKS DISHWASHER sfr 121947 1 1 3 1 1 1 1 1 4 3 1 21' 6" 54 X 49' 6" 1 3 25 37+ 9 10 r-3 5-n 1 9267 no no 2 2 4 1 Fees: PLAN CHECK FEE TYPE II HOOD GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 446.78 10.00 10.00 10.00 10.00 10.00 4.00 30.00 1,116.95 4.50 12.00 12.00 24.00 6.00 6.00 6.00 18.00 15.00 1,751.23 1,751.23 0.00 THIS IS NOT A RECEIPT NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -04-04722 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 Signatur; , Date Staff Initials THIS IS NOT A RECEIPT