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2004, 06-28 Permit: BLD-04-04752 Addition, Reroof, Reside, Pellet StoveSpiokane ... 11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: RESIDENTIAL ADDITION/REMODEL PERMIT 1223 S REEVES RD SPOKANE WA 99206-5436 256 SQ FT DINING ROOM ADDITION, RE -ROOF AND RE -SIDE & PELLET STOVE OWNER CONTRACTOR Subdivision: Lot: Owner: Applicant: Address: Contractor: Address: STARK, DARRIN B & LISA Y STARK, DARRIN B & LISA Y 1223 S REEVES RD SPOKANE, WA 99206-5436 Permit #: Blk: Parcel No: 45214.1811 Phone: Phone: Lic No: Applied: Issued: Expires: BLD -04-04752 06/28/2004 06/28/2004 12/25/2004 Zoning: General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES 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 WOOD OR PELLET STOVE/INSERT 19118 N 12-6 16 X 16 1 NA 58 45 31 r-3 5-b 2 105 X 120 no no 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE WOOD OR PELLET STOVE/INSERT Total Calculated: Deposits/Receipts: Total Due: 128.50 321.25 4.50 10.00 464.25 464.25 0.00 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 p@rmit inure to they property owner. 11 Signature Dat Print Name Staff Initials THIS IS NOT A RECEIPT C,4-