2007, 10-24 Permit App: 07003598 ResidenceProject Number: 07003598 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2007 Page 1 of 3
Project Information:
Permit Use: SFR Contact: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 863-2374
Group Name:
Site Information: Project Name: SHP-03-07
;.... *I Z
Plat Key: Name: Range District: Sout
Parcel Number: 45213.9062
SiteAddress: 1228 S PIERCE RD
Location:: CSV
Block: Lot:
Zoning: UR -3.5 Urban Residential 3.5
Water District: 007 MODEL
Area: .94 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Owner: Name: WRIGHT, ROBERT
Address: 1222 S PIERCE RD
SPOKANE, WA 99206-5535
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released:
Driveway/Approach
9/24/2007 By: TMELBOU
Released By:
Originally Released: 9/24/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 9/24/2007 By: MPALANI
Sewer Review
OK PER BIILY URHAUSEN
Released By:
Originally Released: 9/25/2007 By: jdavis
Operator: JD Printed By: jmm Print Date: 10/24/2007
Project Number: 07003598 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2007 Page 2 of 3
Permits:��,
Contractor: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
SPOKANE VALLEY, WA 99206
Item Description
Approach
Firm: WRIGHT CONSTRUCTION
Phone: (509) 863-2374
Units Unit Desc
APPROACH -CONST IN ROW 1 NUMBER OF
Permit Total Fees:
Building Permit
Fee Amount
$50.00
$50.00
Contractor: WRIGHT CONSTRUCTION Firm: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD Phone: (509) 863-2374
SPOKANE VALLEY, WA 99206
Building Characteristics
Building Height 23
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 1,593 $145,536.48 1,593 $145,536.48
COV DECK R-3 VB 232 $3,480.00 232 $3,480.00
GARAGE U-1 VB 489 $9,291.00 489 $9,291.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 2,314 $158,307.48 2,314 $158,307.48
Units Unit Desc Fee Amount
1 SELECT $1,324.15
1 SELECT $4.50
1 SELECT $529.66
Permit Total Fees:
Mechanical Permit
$1,858.31
Contractor: WRIGHT CONSTRUCTION Firm: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD Phone: (509) 863-2374
SPOKANE VALLEY, WA 99206
Item Description Units Unit Desc Fee Amount
GAS APPLIANCE=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 # OF UNITS $3.00
HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00
VENTILATING FANS 4 NUMBER OF $40.00
RANGE 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
Permit Total Fees: $87.00
Operator: JD Printed By: jmm Print Date: 10/24/2007
Project Number: 07003598 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2007 Page 3 of 3
Plumbing Permit
Contractor: WRIGHT CONSTRUCTION Firm: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD Phone: (509) 863-2374
SPOKANE VALLEY, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Units Unit Desc
2 NUMBER OF
5 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$ 6.00
Notes: F .. ,.. , .- <:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$50.00
$1,858.31
$87.00
$84.00
$50.00
$1,858.31
$87.00
$84.00
$2,079.31 $2,079.31
Amount Paid
$0.00
$0.00
$0.00
$0.00
$84.00
Amount Owing
$50.00
$1,858.31
$ 87.00
$ 84.00
$0.00 $2,079.31
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm
Print Date: 10/24/2007
Project Number: 07003598 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/2007 Page 1 of 3
Project Information:
Permit Use: SFR
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Contact: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 863-2374
Group Name:
Project Name: SHP-03-07
District: Sout
Parcel Number: 45213.9062 Block:
SiteAddress: 1228 S PIERCE RD
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 007 MODEL
Area: .94 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: WRIGHT, ROBERT
Address: 1222 S PIERCE RD
SPOKANE, WA 99206-5535
Hold: ❑
Review Information:
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 9/24/2007 By: TMELBOU
Released By:
Originally Released: 9/24/2007 By: jdavis
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 9/24/2007 By: MPALANIU
Released By:
Operator: JD
Printed By: JD
Print Date: 9/24/2007
Project Number: 07003598
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/2007 Page 2 of 3
Contractor: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
SPOKANE VALLEY, WA 99206
Item Description
APPROACH -CONST IN ROW
Contractor: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
SPOKANE VALLEY, WA 99206
Building Characteristics
Building Height 23
Approach
Firm: WRIGHT CONSTRUCTION
Phone: (509) 863-2374
Units Unit Desc
Fee Amount
1 NUMBER OF $50.00
Permit Total Fees:
Building Permit
$50.00
Firm: WRIGHT CONSTRUCTION
Phone: (509) 863-2374
Description Gra Type Notes
1&2 FAMILY R-3 VB
COV DECK R-3 VB
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,593 $145,536.48 1,593 $145,536.48
232 $3,480.00 232 $3,480.00
489 $9,291.00 489 $9,291.00
Totals: 2,314 $158,307.48 2,314 $158,307.48
Contractor: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
SPOKANE VALLEY, WA 99206
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Fee Amount
$1,324.15
$4.50
$529.66
Permit Total Fees: $1,858.31
Mechanical Permit
Units
1
3
1
4
1
1
Operator: JD Printed By: JD
Finn: WRIGHT CONSTRUCTION
Phone: (509) 863-2374
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$3.00
$12.00
$40.00
$10.00
$10.00
$87.00
9/24/2007
Project Number: 07003598 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/2007 Page 3 of 3
Contractor: WRIGHT CONSTRUCTION
Address: 1222 S PIERCE RD
SPOKANE VALLEY, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
MISCELLANEOUS FIXTURES
Notes:
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
5
2
1
1
1
1
1
Fee Amount
$50.00
$1,858.31
$87.00
$84.00
Finn: WRIGHT CONSTRUCTION
Phone: (509) 863-2374
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$50.00
$1,858.31
$87.00
$84.00
Fee Amount
$12.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$84.00
Amount Owing
$50.00
$1,858.31
$87.00
$84.00
$2,079.31 $2,079.31
$0.00 $2,079.31
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD
Print Date: 9/24/2007
.Jane
jValley�
,ommunity Development
Residential Construction
Permit Application
Permit Center RECEIVED BY
11703 E Sprague Ave, Suitaj- ' OF SPOKANE VALLEY
(509)688-0036 FAX: (509)688-00SSpokane Valley, WA 99206 P i. ® 2001
www.spokanevalley.org E; IT CENTER
S< .
PERMIT NUMBER: `-j
PERMIT FEE:
ons ruction
Addition/Remodel
Other:
Accessory Bldg
Deck
S. i erce,`�� . Sgolc e. \fa I l e incl ci°�
6 1 b
n"
SrT P - - LEGAL DESCRIPTION: WE 4Q ICA✓O4 "N1 e S� 0140A -Or o'�'
4-
SITE ADDRESS: gag
ASSESSORS PARCEL NO:
Building Owner: 'Randy a. Cara W ri �„�t
Name: `ga�\y 4 C iA N. (' C t i,'f�'
Address: t 9A a1 5 • ' Letts, Rd
City: c?ol«M f vac I.%9 VJ� Zip: q 1 �Ojc
City: SeDIOSU +L \%111' State: W a
Zip: 994306Phone:
50 6 3 . a 3'r Fax:
IMPERVIOUS SURFACE
AREA: NA
Contact Person
Name: t2al ndy VJ11 N+
Phone: SQq • kto3• 3 7 N
Contractor: \Nj (j...51,/ 4- C011S+114 C ,CV1
Name: R- fund \44( 5k.i.-�
Address: (?oaa Vlerf2 Cl-' -
City: c?ol«M f vac I.%9 VJ� Zip: q 1 �Ojc
Phone: Slp) . 810 •d 7(.4 Fax:
Contractor
+'�.ogLtSs'Y Exp Date: Dt{ 1'1 x,008
City Business Lic. No: L074 I to 4
Describe the scope of work in detail: Cost of Project: $ 171/ 000. v9
5)1e, Le reA rancher, on a ,slab, 1795 S space , !I! sq
Af+etaved wn2.5c 4qd
Proposed Use: S t nel 1G -cam;1 i d wel l i vlq
**************The follow' UST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
IONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG: I -VW
2"U FLOOR SQ. FTG:
N Pt
UNFIN BASEMENT SQ. FTG:
NA
IMPERVIOUS SURFACE
AREA: NA
FINISHED BASEMENT
SQ. FTG: NA
GARAGES . FTG:
q!'•
COV. FTG:
L
DE£PE:•
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:CONSTRUCTON
.3
TYPE:
Conventt oral wood
HEAT SOURU
SEWER OR SEPTIC?
Sever
rat w► � inq
The permitee verifies, acknowledges and agrees by their sigTrature 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can b� o'c d.
1
SIGNATURE:
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2115/07
Check CaNiU
balidat-
0 Mastercard
Expires:
DATE:
❑ VISA
VIN#:
r
Spokane
.000 Valley*
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
n Commercial
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: O `5 ? 1'e'rcc St °‘(--6-Y1 ei v a t l ett ( W Q q q ao b
Building Owner
`_ r
Name: f�(JI.(lcky 4, Caro► 'Y`r(•1 nk-
Phone: SDoI. x'(03 • A.3-74 Fax.
Address: taata S. PlGnce..gd..City:
CpD aline Va IIey State:
o1/4
Zip: cm7_0L
Contractor
I
Name: tin (A'YO'Cita'l.trYl.
Phone: 5(A • sly ?J• A37 L1 Fax:
Address: S., Vi-e,;(1L- (? •
City: SQDVAAAA vQUGe State:
vV ON
p "
WIN) LN) tW
License No: W� 1 G vkC x citA s�
City Busmess Lic: LO 7 S ‘101.1.
Contact
Name: ndy \or; op i.-
p
Phone: O k,:A3.74
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
x
$12.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
7
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
More than 400,000
X
$100.00
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
10.00
13
RANGE
x
$10.00
10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
1111111116
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
3
X
$1.00
3.116
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
21
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
26
AIR CONDITIONER
4-15 TON
t
X
$12.00
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
X
SUBTOTAL
$22.00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
CTTl(lf��Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokan ev al l ey. org
Plumbing Permit Application ❑ Commercial
SITE ADDRESS: lad, O S- P‘eirce, S e0V °¢ v 0.1,4.1 I yv�C
PERMIT NUMBER:
PERMIT FEE:
Residential
°1q P-010
Building Owner
Name: 'Rand c C.IJMOI VJh j
CI "
Phone: s� .s 6 3 . a 7 y
Fax:
Address: Baa s • �‘�� -
City: Sq�l \iaiteI
State:\WA
Zip: gcjao,
Contractor
Name: \tort- �j(l.$-1'rAck w
Phone: sag. f(03 'x37(1
Fax:
Address: la a S.. ?wax,
City: S 0°
State: vjk.
Zip: '7? xo,,
License No: vie eit.i.c w q LI s5 P
City Busmess Lic: W 75 ) ID y
Contact
r
Name:IOWndy Witek -
Phone: 5DA-SI'P3•a3-7y
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
x
$6.00
I a. 00
2
URINALS
0
X
$6.00
3
TUBS
X
$6.00
(D. 00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
12l• 00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
3o.00
6
DISHWASHER
X
$6.00
la•00
7
CLOTHES WASHER
X
$6.00
le- 0 0
8
GARBAGE DISPOSAL
1
x
$6.00
1Q- 00
9
WATER SOFTENER
0
x
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
0
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
0
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
0
X
$6.00
13
FOUNTAINS, DRINKING
0
X
$6.00
14
15
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
c 0®
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
20
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokan��
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Approach Permit Application
PERMIT NUMBER:
PERMIT FEE:
PROJECT ADDRESS
START DA 1'h
ANTICIPA 1'ED COMPLETION DA 1'E
Building Owner.
Contractor.
Name: g0,114y a. cant X1010\vvv.
Address: laadl S. 12IGrte, Rd •
City: Spokiunt. vo U -e State: V•16 Zip:clg2Ob
Phone: 5Oct -$(p3 • a3 )'4 Fax:
Contact Person
Name: t1A n y " 'S
Phone: ,0q - g (p 3 . a,3-7/4
PROJECT DESCRIPTION (Provide site sketch)
Residential Driveway
Existing Curb & Gutter
Culvert Installation
Other Conditions
Name: W 11 40,k" OSIkS IY1. 1
Address: �a s. �IGrc,�, ¶ a.
atom
JedI State: OA Zip: q9 a-pty
Phone: 504 -ve3 . a31 N Fax:
City:
Contractor Lic No: NJ+t.\ f� j{.C3r:NSA p Date: t -r.
City Business Lic. No: LO7S a. 1 64
Commercial/Industrial Driveway
Rural Road Section
Sidewalk Repair/Construction
Bond/Insurance certification must be on file with the city.
DISCLAIMER
The permittee verifies, acknowledges and agrees by their signatures 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this
application can be processed.
Signature
Method of Payment
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 318/06
Date
❑ Mastercard ❑ VISA
Expires: VIN#:
I
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