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2004, 06-30 Permit: BLD-04-04836 Residence/*\4...4, carr urok Spane 4 le 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: NEW SINGLE FAMILY RESIDENTIAL PERMIT 3904 S MERCY CT SPOKANE VALLEY WA 99206 NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Lot: DIAMOND ROCK CONSTRUCTION INC DIAMOND ROCK CONSTRUCTION INC 15321 E MISSION AVE VERADALE, WA 99037-9552 DIAMOND ROCK CONSTRUCTION INC 15321 E MISSION AVE VERADALE WA 99037-9552 Blk: Parcel No: Phone: (509) 924-8964 Phone: Lic No: (509) 924-8964 DIAMORC032OQ Permit #: Applied: Issued: Expires: BLD -04-04836 Zoning: 06/30/2004 07/22/2004 01/18/2005 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II 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 SHOWERS (PER TRAP) SINKS DISHWASHER sfr 170822 1 1 1 2 1 1 1 1 3 4 1 25 55 X 71 2 4 50 53 26 20 r-3 5-n 1 20357 no no 3 3 5 1 Fees: PLAN CHECK FEE TYPE II HOOD RANGE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS BASIC PERMIT FEE WSBCC SURCHARGE TOI LETS SHOWERS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 556.54 10.00 10.00 10.00 10.00 3.00 40.00 1,391.35 4.50 18.00 18.00 30.00 6.00 6.00 6.00 6.00 12.00 15.00 2,152.39 2,152.39 0.00 THIS IS NOT A RECEIPT aTV or �/ � Sloane ,r,,. M lley NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -04-04836 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 pure to the proyefty owner. Print Name Signat Staff Initials THIS IS NOT A RECEIPT A- 4-te