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2004, 03-01 Permit: BLD-04-03647 Addition i Spokane '" "Val1ey RESIDENTIAL ADDITION/REMODEL PERMIT 11707 E. Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Permit#: BLD-04-03647 Job Address: 10521 E 15TH AVE Applied: 03/01/2004 SPOKANE WA 99206-3416 Issued: 03/01/2004 Description: LIVING ROOM/DINING ROOM ADDITION TO RESIDENCE Expires: 08/28/2004 Subdivision: Lot: BIk: Parcel No: 45204.3349 Zoning: Owner: BISHOP,JERRY& MICHELLE Applicant: BISHOP,JERRY&MICHELLE Phone: (509)927-8576 Address: 10521 E 15TH AVE SPOKANE,WA 99206-3416 Contractor: Phone: Address: Lic No: General Information: Fees: VALUATION 35846 PLAN CHECK FEE 200.94 REROOF N BASIC PERMIT FEE 502.35 BUILDING HEIGHT TO PEAK 13 WSBCC SURCHARGE 4.50 DIMENSIONS 16 X 30 Total Calculated: 707.79 COST OF PROJECT 8000 Deposits/Receipts: 707.79 #OF STORIES 1 FRONT SETBACK 36 Total Due: 0.00 REAR SETBACK 22 LEFT SETBACK N/A RIGHT SETBACK 35 FLANKING SETBACK 35 OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-n STRUCTURES ON PROPERTY 1 CURRENT PROPERTY SIZE 115 X 75 SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no 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 pe nur: - - property owner. c 1 ).0,0 (7 �� Print Name ;) Signatur-�' .570"-) --- --4-e Staff Initials THIS IS NOT A RECEIPT