2004, 06-01 Permit: BLD-04-04476 DuplexSio'lane
4 ..1 alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
NEW SINGLE FAMILY RESIDENTIAL PERMIT
520 N RAYMOND RD
SPOKANE WA 99206-3893
NEW DUPLEX W/ATTACHED GARAGES - NATURAL GAS
SEVERSON, ALVIN
SEVERSON, ALVIN
PO BOX 141735
SPOKANE VALLEY, WA 99214
Lot:
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45174.0802
Phone: (509) 999-6080
Phone:
Lic No:
BLD -04-04476
Zoning:
06/01/2004
06/04/2004
12/01/2004
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
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
VENTILATING FANS
TYPE II HOOD
dup
187076
15
70 X 54
1
6
35
29.25
21
5
r-3
5-n
1
96 X 118
no
no
4
2
6
2
2
2
4
2
2
2
4
4
2
Fees:
PLAN CHECK FEE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
VENTILATING FANS
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
594.62
20.00
20.00
4.00
40.00
1,486.55
4.50
24.00
12.00
36.00
12.00
12.00
12.00
24.00
30.00
2,331.67
2,331.67
0.00
THIS IS NOT A RECEIPT
aTv e /1��
Spocukane
.. 00-Val.ley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-04476
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.
Own r ip of r j: ulti development rights granted by any issued permit inure to the property owner.
A,
Prin Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT