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2003, 09-19 Permit: BLD-03-02516 ResidenceSpokane .000.1;Va11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 NEW SINGLE FAMILY RESIDENTIAL PERMIT Job Address: 1308 S PERRINE RD SPOKANE WA 99212 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: HOMESTEAD CONSTRUCTION INC HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE, WA 99206-3666 HOMESTEAD CONSTRUCTION INC 312 S FARR RD SPOKANE WA 99206-3666 Lot: Permit #: Applied: Issued: Expires: Blk: Parcel No: 45214.3323 Phone: (509) 892-0454 Phone: Lic No: (509) 892-0454 HOMESCI099OC BLD -03-02516 Zoning: 09/19/2003 10/09/2003 04/06/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION CLOTHES WASHER FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 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 SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY TOILETS TUBS SHOWERS (PER TRAP) SINKS DISHWASHER sfr 110786 1 1 3 1 1 1 3 4 1 14 62 X 40 1 2 30 38 12 12 r-3 5-w 1 no no 3 2 1 4 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS WSBCC SURCHARGE TOILETS TUBS SHOWERS SINKS DISHWASHER CLOTHES WASHER FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits/Receipts: Total Due: 422.14 1,055.35 10.00 10.00 3.00 40.00 4.50 18.00 12.00 6.00 24.00 6.00 6.00 6.00 18.00 15.00 1,655.99 1,655.99 0.00 THIS IS NOT A RECEIPT *dime .,.. Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -03-02516 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 Signature Staff Initials THIS IS NOT A RECEIPT \(-C)\ Date