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2004, 06-17 Permit: BLD-04-04633 ResidenceCJT1' C Spokane ./" Val.ley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Job Address: 1212 S PERRINE RD SPOKANE WA 99212 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: Lot: HOMESTEAD CONSTRUCTION INC HOMESTEAD CONSTRUCTION 312 S FARR RD SPOKANE, WA 99206-3666 HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE WA 99206-3666 Permit #: Applied: Issued: Expires: Blk: Parcel No: 45214.3326 Phone: (509) 892-0454 Phone: Lic No: (509) 892-0454 HOMESCI099OC BLD -04-04633 Zoning: 06/17/2004 06/18/2004 12/15/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION 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 CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS sfr 114821 12 48' 6" X 46 1 2 30 40 24 13 r-3 5-n 1 86 X 117 no no 2 1 1 3 1 1 3 1 1 1 1 3 4 Fees: PLAN CHECK FEE GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 431.10 10.00 10.00 10.00 3.00 40.00 1,077.75 4.50 12.00 6.00 6.00 18.00 6.00 6.00 18.00 15.00 1,673.35 1,673.35 0.00 THIS IS NOT A RECEIPT Siokane NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -04-04633 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. ignature Dat /12.1((Kt?o lq 0 (iii Print Name Staff Initials 1,23b4k2±- THIS IS NOT A RECEIPT