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2006, 11-27 Permit App: 06004638 Residence Project Number: 06004638 Inv: 1 Application Date: 11/27/2006 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SFR-GAS-SEWER Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE C-S-Z: HAYDEN,ID 83835 Setbacks:Front 23 Left: 21. Right: 14. Rear: 42 Phone: (208)762-9106 Group Name: Site In formation Project Name: Plat Key: Name: Range District: East Parcel Number: 46353.5302 Block: Lot: SiteAddress: 14423 E WABASH AVE Owner:Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE Location::CSV HAYDEN,ID 83835 Zoning: UR-3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: iwra xa a a ae #. .._.... . .., Review Flood Plain Released By: Building Plan Review Released By: " " {—' Driveway/Approach Released By: Landuse/Zoning/HE Conditions Released By:(10 �..� 4 I I J Sewer Review Released By: ,_______ Operator: jmm Printed By: jmm Print Date: 11/27/2006 Project Number: 06004638 Inv: 1 Application Date: 11/27/2006 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Approach Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Building Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,375 $118,758.75 1,375 $118,758.75 BASEMENT U R-3 VB 1,295 $19,425.00 1,295 $19,425.00 DECK OPEN R-3 VB 114 $1,710.00 114 $1,710.00 GARAGE U-1 VB 440 $8,360.00 440 $8,360.00 Totals: 3,224 $148,253.75 3,224 $148,253.75 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,268.15 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $507.26 Permit Total Fees: $1,779.91 Mechanical Permit Contractor: AIR DESIGN INC Firm: AIR DESIGN INC Address: 1807 E FRANCIS AVE Phone: (509)487-4328 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 VENTILATING FANS 3 NUMBER OF $30.00 RANGE 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $75.00 Operator: jmm Printed By: jmm Print Date: 11/27/2006 Project Number: 66004638 Inv: 1 Application Date: 11/27/2006 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 Permit Total Fees: $96.00 Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,779.91 $1,779.91 $0.00 $1,779.91 Mechanical Permit $75.00 $75.00 $0.00 $75.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $2,000.91 $2,000.91 $0.00 $2,000.91 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: jmm Printed By: jmm Print Date: 11/27/2006 Project Number: 06004638 Inv: 1 Application Date: 11/29/2006 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SFR-GAS-SEWER Contact: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE C-S-Z: HAYDEN,ID 83835 Setbacks:Front 23 Left: 21. Right: 14. Rear: 42 Phone: (208)762-9106 Group Name: Site Information Project Name: Plat Key: Name: Range District: East Parcel Number: 46353.5302 Block: Lot: SiteAddress: 14423 E WABASH AVE Owner:Name: VIKING CONSTRUCTION INC Address: 2605 W HAYDEN AVE Location::CSV HAYDEN,ID 83835 Zoning: UR-3.5 Urban Residential 3.5 Water District: 001 TRENTWOOD Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Flood Plain Released By: Originally Released: 11/29/2006 By: jlmain Building Plan Review Released By: Originally Released: 11/28/2006 By: TMELBOU Driveway/Approach Released By: Originally Released: 11/29/2006 By: jlmain Landuse/Zoning/HE Conditions Released By: Originally Released: 11/29/2006 By: cjjanssen Operator: jmm Printed By: jmm Print Date: 11/29/2006 Project Number: ' 06004638 Inv: 1 Application Date: 11/29/2006 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Review Released By: Approach Contractor: VIKING CONSTRUCTION Finn: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Item Description Units Unit Desc Fee Amount APPROACH-CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Building Permit - Contractor: VIKING CONSTRUCTION Finn: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,350 $116,599.50 1,350 $116,599.50 BASEMENT U R-3 VB 1,320 $19,800.00 1,320 $19,800.00 DECK OPEN R-3 VB 114 $1,710.00 114 $1,710.00 GARAGE U-1 VB 440 $8,360.00 440 $8,360.00 Totals: 3,224 $146,469.50 3,224 $146,469.50 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,256.95 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $502.78 Permit Total Fees: $1,764.23 Operator: jmm Printed By: jmm Print Date: 11/29/2006 Project Number: ' 06004638 Inv: 1 Application Date: 11/29/2006 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Contractor: AIR DESIGN INC Firm: AIR DESIGN INC Address: 1807 E FRANCIS AVE Phone: (509)487-4328 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 VENTILATING FANS 3 NUMBER OF $30.00 RANGE 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $75.00 Plumbing Permit Contractor: VIKING CONSTRUCTION Firm: VIKING CONSTRUCTION Address: 2605 W.HAYDEN AVE Phone: (208)762-9106 HAYDEN,ID 83835 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 MISCELLANEOUS FIXTURES 3 NUMBER OF $18.00 Permit Total Fees: $96.00 Operator: jmm Printed By: jmm Print Date: 11/29/2006 Project Number: ' 06004638 Inv: 1 Application Date: 11/29/2006 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary• Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,764.23 $1,764.23 $0.00 $1,764.23 Mechanical Permit $75.00 $75.00 $0.00 $75.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $1,985.23 $1,985.23 $0.00 $1,985.23 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: jmm Printed By: jmm Print Date: 11/29/2006 Permit Center PER}��T?�U?�'1BE?.[r ?j� s1170oo . ne i E Sprague Ave, Suite 106 ,„,,,00 Spokane Valley,WA ° 71-:--;\,� PERMIT FEE: (.)09)688-0036 FAX (5D6$8- 03 ' , , i It r-crz-r,12 :y Dete1cpr,_nt , .cnnkane;aLlev.nra rI NOV 2 1 2006 --.. Residential Construction ;Li] New Constrtictidn - t.C. N,milwv Bldg I I �,t k adalbt rk dei o Deck Permit Application _ ❑ Other: SITE ADDRESS ,Aa O-)J E i D \ "" ASSESSORS PARCEL NO: 4 Lf90LEGAL DESCRLRTION: t IA `1 ti5 uilcdig: owner Contractor ;:.;; >: Name: 1�..�.�� Name: g,-C j_ Address: , ,a , ,,i ' i! a lIIIIIIIII Address: 1,. 1 Zip: 12> 44. City: Zip: Phone:,ri� ja-Q ilk,Fax: - 1 Phone: Fax: Lic No:V IIICA(WA-1 Exp.Date: Contact Per'sog:,. : •` City Business Lic No: Name: Phone: Describe the scope of work in detail: Cost of Project: $i�`a� iccut'` **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: #OF STORIES: S 1 ,} TOTAL HABITAB E SPACE: 22'- O Ye yy i x So, p s Z' • ou MAIN FLOOR TO SQ. 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: t3'/7�' 3 SO N/AI �N/A3 t.0 AREA: $ 5`t FINISHED BASEMENT GARAGE SQ. FTG: DECK/COV. PATIO SQ. FTG: 30% SLOPES ON SQ. FTG: /U4, \ ily0 C714- i/`' 01‹. PROPERTY: A/0 #OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 3 Conv. c--,a Forced A:r .SC.wer 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature �� , Date 1 i 6 aal� �.. ljIUrq Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA 0 Other Bankcard r: Expires: Vihx: Authorized Signature: REVISED 6/25,2305 Spa'olc4ne - VaJJey 11707 E Sprague Ave Suite 106 4 Spokane Vattey WA 99206 509.921.1000 + Fax: 509.921.1008 + cityhalt@spokanevattey.org Residential Plan Submittal Minimums ❑ Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. ❑ Two sets of plans including Site Plan, elevations, floor plans, foundation plans With details, roof plan, framing plans & details. ❑ Show the height of any proposed buildings or accessory structures. O Floor plan for each floor: Dimension to scale (minimum 1/8") and label each Room (including sq. footage of house and garage on plans) Show each level of existing house and square footage of any additions. ❑ All braced wall panel types: show locations and details of installation, including engineered design. ❑ Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. ❑ Smoke detector locations ❑ 22" X 30" attic access location o 18" X 24" crawl space access: O One-hour separation detail: between house and garage ❑ Floor framing details: Joist type, size, spacing and installation details ❑ Roof framing plan and details ❑ Furnace and hot water heater location. ❑ All header locations: type, size, and connections ❑ Foundation plan O Insulation information �'�f • Permit Center S ' okan" e 11707 E Sprague Ave,Suite 106 Valley Spokane Valley,WA 99206 PERMIT NUMBER: .0000 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www.spokanevalley.ore.com Mechanical Permit Application o Commercial t esidential SITE ADDRESS \I4 3 I1�E , - h DiVe Building owner Name: \ ` Phone: 1.)(A),..,() ' ) <' Fax ' i Address: I t C/i.� s U-> l b t) A.1 V, :\ (\I, t' City I U$l('tlivv 1\ State -1I Zip '��Z, ; V� Contractor Name: 11 iv- v)0,:, ', 1 Phone: Fax: Address: City State Zip License No: City Business License No: Contact • Name: Phone: DESCRIPTION OF WORK It OF UNITS X COST = TOTAL AMOUNT_ 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ' 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 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 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 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' = 13 RANGE t X $10.00 = 14 DRYER X $10.00 _ _ 15 FUEL BURNING WATER HEATER 1 X $10.00 = 16 MISC.FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING(each outlet) X $1.00 = 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS J X $10.00 = 20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER(DOES NOT include ducting) 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 I X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON 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 X $22.00 = METHOD OF PAYMENT: SUBTOTAL ['CASH1:1ICHECK ElVISA IIMC DATE. PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Revlse sn2505 • DEC 06 2005 09:30 FR TO 12087624507 P.01/01 ��777,,, l ,.. Permit Center e 11707 E Sprague Ave,Suite 106 s Spokane Valley,WA 99206 PERMITNUMBER: (509)688-0036 FAX:(509)688-0037-0037 P~RIvfIT FEE:Convntmi hDevelopment w ww.cookanevany.orgco-ii Plumbing Permit Application ❑ Commercial [J Residential srfEADDRESS: u3- C ( �� .. )aildiugo_, w�ner \/ ' l i'i'i �'".�..�'�.-- - - Name: I'. �„ � •_� r� --- Cad Phone: ti J t:.;). (1( . C_. _ f Address: l r i -- t I.\, .t-Ali,.. , L•, �i'I1 I- A:f City Q-�C.k i C'1(�it State: �l-_� 2ip - r Contractor , • Name: Phone: Fax: Address: C :_ $tett: �� ity Zi License No: City Business License No: Contact: ... • Name: Phone: DESCRIPTIOi^!OF WORK; a OF UNITS X COST 1.. TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS a. X $6.00 = 2 URINALS X $6,00 - 3 TUBS - 1 X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6,00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, i' X $6.00 _ —_� _ X-RAY,FOOD,PREP/CULINARY MEAT H 6 DISHWASHER I X $6.00 7 CLOTHES WASHER I X $8,00 8 GARBAGE DISPOSAL ( X Om = Ii' WATER SOFTENER X $6,00 - 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL _ X $6,00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE 1 X $6.00 7 = ROOF DRAINS/OVERFLOW 12 DRAINS _ X $6,00 1$ FOUNTAINS,DRINKING X $8.00 ■ WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS • X $6.00 = 15 SEWAGE EJECTOR GRINDER.SUMP PUMP X 16,00 ICE AN/OR COFFEE MAKER,HOSE BIB. 16 WATER USING DEVICE STEAMER X $6.00 _ PROOFER,CARBONATOR.SWAMP COOLER VACUUM BREAKER,CHECK VALVE, 17 CROSS CQNNECTION DEVICE AND R.P.B_P.D.FOR: VATS TANKS.BOILERS X $6.00 - GREASE TRAP,SAND TRAP, —, 16 INTERCEPTORS CHEMICAL HOLDING TANK x MOD a 13 MEDICAL GAS(par outlet) NITROUS,OXYGEN X $6.00 - MISCELLANEOUS PLUMBING 20 FIXTURE — X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $.20 0.0 = INDUSTRIAL WASTE 22 INTERCEPTOR X $is.00 METHOD OF PAYMENT: SUBTOTAL C] CASH LICHECKPROCESSING FEE 0 VISA ❑ MASTERCARD $35.00 — Card# EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED sr2yp5 ** TOTAL PAGE.01 -+::+: „ . . .. • ...-, ...-- , ..`•-a :-;---- — '."--------- i'eri-init (_enter 'Uot-,-...ane —I ,.--,- FF -- - :- -: -1;aitt ---,----45\7ai ley snni:ane Vaik--, ,', :\ 3c,20=, 1 PERMif f EL ...,,..r.......3i4.--. ,.' -,./,)(1)-c'..' ,'!!'!?,... !- _, , ,,• ()):,-.•! (:(:)-2.•-• .2o - rrimtiam,F),-vc:loprrifnt i' " n.:::)01‘an:2, . . i . 4 poroaca Permit A.D pile:at-Lon .L. A- I PROTECT ADDRESS ILtLtn U% k)--(3315.Sh S'FAIl'I.-)A.'1.1!. A N'PICIP A 11:.1)C:(IfiviP1.I;71-1(7%1s. D A-IL Building Owner: j Contractor: 1 Name: ..,--UTy-------vs:\ Name: •-.,y-t, it:\6 , I Address: ;NI --"<-- %,', k i-• , i't• .- IN e i , k,,,...,„_ L, _ Address: ---------- City: .k.k,\aLp State: -iii-) Zip: ((•%.‘i.;;;;.'i'j City. Stat e: Zip: . • Photic ro 1 -4 elks- I ---- - Fax: ,)(-i'L,,--I t.,,) (-11S-Z'-I Phone: l'''aK: Contact.Pc,.,on ......___.....„ Contractor Lie'NO:%,i r P.- 1 v,%c. c,te:,,,,,if2Lp I)ate: 1 m 1 r , LI Name: City Business Lic.No: 1 c Phone- ..)--a., --ii( .. (--•2•, ' ,--LI: \:::_i...c.:,1-• -‘-,!...1,.___________________ .._. PROJECT'DESCIR_IPTiONI(Provide site slc etch) r____ vResidential Driveway Conatnercialilotiustrial Driveway --_ Existing curb A.'. Gur ] tter Rural Road Section [--- ( u lv enInstallation [r._....__._.1 Sidewalk Rep ar/Constructio F Other Condit lot is Bond/Insurance certification must he on file with the city. DISCLAIMER The perminee verifies,acknowledges and agrees by their signatures that: 1) If this permit is for construction of or on a dwelling,the dwelling is/will he served by potable water. 2)Ownership of this City of.Spokane Valley Permit inure to the property owner. 3)The signatory is he properly owner or has permission 1:0 represent die property owner in this transaction. 1) All construction is to be done in full compliance with the City of Spokane Valley Development (....nde. Referenced codes are available for review at the City of Spokane Valley Pet nit Center. 5)This City of Spokane Valley Perniii 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 he submitted,and subsequently approved before this application can he processed. _..........,„ I 1 \ SionaLure t,...)kl,N 062.;\; -,,,___, •',',-A. I--,-; I).--N-;\ -,-, Date t i to\0U, -- iv-lei:hod of Pa),,f,(.,y : Ill Cash TI Check El Mastercard lil VISA Rankoard #: E.:1*es: ViNg: ..auhor-ized Sismature: REV:SED 3.3/0E •