2004, 10-28 Permit: BLD-04-08061 Additioncrrti� or ��
Spokane
4,00°Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
•
RESIDENTIAL ADDITION/REMODEL PERMIT
5022 N SUNNYVALE DR
SPOKANE WA 99206
10' X 18' DEN ADDITION TO EXISTING SLAB W/NEW FOOTINGS
OWNER CONTRACTOR
JIMMY CAMERON
Permit #:
Applied:
Issued:
Expires:
BLD -04-08061
10/28/2004
10/28/2004
04/26/2005
Lot: Blk: Parcel No: 46364.0206 Zoning:
JIMMY CAMERON Phone: (509) 768-2144
5022 N SUNNYVALE DR
SPOKANE, WA 99206
Contractor: Phone:
Address: Lic No:
General Information:
VALUATION
REROOF
NON -HEATED
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
13442
N
N
11
10 X 18
1
80
NA
14
NA
r-3
5-b
76 X 188
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
94.90
237.25
4.50
336.65
336.65
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 issue erm inure to the property owner.
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Print`1lame Signat a Dat
Staff Initials
THIS IS NOT A RECEIPT