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2003, 10-01 Permit: BLD-03-02646 Addition Spokane ,�,,•"�Valley RESIDENTIAL ADDITION/REMODEL PERMIT 11707 E.Sprague Ave., Suite 106 Spokane Valley,WA 99206 Permit#: BLD-03-02646 Job Address: 11317E 16TH AVE Applied: 10/01/2003 SPOKANE WA 99206-5674 Issued: 10/01/2003 Description: 21 X 32 ADDITION TO RESIDENCE-LIVING ROOM AND 2 BEDROOMS Expires: 03/29/2004 (OWNER IS CONTRACTOR) Subdivision: Lot: Blk: Parcel No: 45213.9239 Zoning: Owner: KUCHIN, SERGEY V&MARINA Y Applicant: KUCHIN, SERGEY V&MARINA Y Phone: (509)927-9576 Address: 11317E 16TH AVE SPOKANE,WA 99206-5674 Contractor: Phone: Address: Lic No: General Information: Fees: VALUATION 45226 PLAN CHECK FEE 241.34 REROOF N BASIC PERMIT FEE 603.35 BUILDING HEIGHT TO PEAK 16 WSBCC SURCHARGE 4.50 DIMENSIONS 21 X 32 Total Calculated: 849.19 #OF STORIES 1 Deposits/Receipts: 849.19 #OF BEDROOMS 3 FRONT SETBACK 66 Total Due: 0.00 REAR SETBACK N/A LEFT SETBACK 35 RIGHT SETBACK 10 OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-w STRUCTURES ON PROPERTY 2 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 permit inure to the property owner. Print Name Signature Date Staff Initials THIS IS NOT A RECEIPT THIS IS NOT A PERMIT Sono �e Penalties will be assessed for jsa.n commencing work without a permit loValley RESIDENTIAL ADDITION/REMODEL 11707 E.Sprague Ave., Suite 106 Spokane Valley,WA 99206 Application#: BLD-03-02646 Job Address: 11317 E 16TH AVE Applied: 10/01/2003 SPOKANE WA 99206-5674 Issued: 10/01/2003 Description: 21 X 32 ADDITION TO RESIDENCE-LIVING ROOM AND 2 BEDROOMS Expires: 03/29/2004 (OWNER IS CONTRACTOR) Subdivision: Lot: BIk: Parcel No: 45213.9239 Zoning: Owner: KUCHIN,SERGEY V&MARINA Y Applicant: KUCHIN, SERGEY V&MARINA Y Phone: (509)927-9576 Address: 11317E 16TH AVE SPOKANE,WA 99206-5674 Contractor: Phone: Address: Lic No: General Information: Fees: VALUATION 45226 PLAN CHECK FEE 241.34 REROOF N BASIC PERMIT FEE 603.35 BUILDING HEIGHT TO PEAK 16 WSBCC SURCHARGE 4.50 DIMENSIONS 21 X 32 Total Calculated: 849.19 #OF STORIES 1 Deposits/Receipts: 0.00 #OF BEDROOMS 3 FRONT SETBACK 66 Total Due: 849.19 REAR SETBACK N/A LEFT SETBACK 35 RIGHT SETBACK 10 OCCUPANCY GROUP r-3 CONSTRUCTION TYPE 5-w STRUCTURES ON PROPERTY 2 SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no