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2003, 11-20 Permit: BLD-03-03124 ResidenceSpokane •Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 3713 S MCDONALD LN SPOKANE VALLEY WA 99216 Description: Subdivision: Owner: Applicant: Address: Contractor: Address: NEW RESIDENCE W/ATTACHED GARAGE - GAS LEXINGTON HOMES INC LEXINGTON HOMES INC PO BOX 141749 SPOKANE, WA 99214-1749 LEXINGTON HOMES INC PO BOX 141749 SPOKANE WA 99214-1749 Lot: Blk: Application #: BLD -03-03124 Applied: Issued: Expires: Parcel No: 45345.9117 Phone: (509) 922-9870 Phone: Lic No: (509) 922-9870 LEXINHI025JA Zoning: 11/20/2003 05/18/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE CURRENT PROPERTY SIZE CURRENT PROPERTY USE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON IMPERVIOUS SURFACE AREA sfr 172827 55 X 63 1 2 25 34 7 7 r-3 5-w 8948 RESIDENCE no no 4 3 3 6 1 1 1 1 3 1 1 1 1 1 1 4 5 1 1 2849 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON 0 REVVIIEKANE AO LER THIS IS NOT A RECEIPT Total Calculated: Deposits/Receipts: Total Due: 561.02 1,402 55 4.50 24.00 18.00 18.00 36.00 6.00 6.00 6.00 6.00 18.00 6.00 15.00 10.00 10.00 10.00 10.00 4.00 50.00 12.00 2,233.07 0.00 ITY OF SPOKANE VALLEY KM FOR SUBMITTAL MSION Initials / Date Building - / Planning ii IC--/ /OA /_e 2,233.07 Public VYOfks Spokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: NEW SINGLE FAMILY RESIDENTIAL PERMIT A_ 151 61 3713 S MCDONALD LN SPOKANE VALLEY WA 99216 NEW RESIDENCE W/ATTACHED GARAGE - GAS LEXINGTON HOMES INC LEXINGTON HOMES INC PO BOX 141749 SPOKANE, WA 99214-1749 LEXINGTON HOMES INC PO BOX 141749 SPOKANE WA 99214-1749 Lot: Permit #: Blk: Parcel No: 45345.9117 Phone: (509) 922-9870 Phone: Lic No: (509) 922-9870 LEXINHI025JA Applied: Issued: Expires: BLD -03-03124 11/20/2003 11/21/2003 05/19/2004 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE CURRENT PROPERTY SIZE CURRENT PROPERTY USE SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD HEAT PUMP/AIR COND 0 - 3 TON IMPERVIOUS SURFACE AREA sfr 172827 55 X 63 1 2 25 34 7 7 r-3 5-w 8948 RESIDENCE no no 4 3 3 6 1 1 1 1 3 1 1 1 1 1 1 4 5 1 1 2849 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE CROSS CONNECTION DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 561.02 1,402.55 4.50 24.00 18.00 18.00 36.00 6.00 6.00 6.00 6.00 18.00 6.00 15.00 10.00 10.00 10.00 10.00 4.00 50.00 12.00 2,233.07 2,233.07 0.00 THIS IS NOT A RECEIPT SpokaneG e Valley 11707 E. Sprague Ave., Suite 106 ' Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Permit #: BLD -03-03124 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 istwill 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 gbrmit inure to the property owner. t ri K �,12Qk- Print Name Staff Initials Signature THIS IS NOT A RECEIPT "/2I1� Date