2004, 09-23 Permit: BLD-04-07733 Addition THIS IS NOT A PERMIT
pocork r,� I•��r. Penalties will be assessed for
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.000•' alley RESIDENTIAL ADDITION/REMODEL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07733
Job Address: 11306 E 18TH AVE Applied: 09/23/2004
SPOKANE WA 99206-5620 Issued: 09/23/2004
Description: 14 X 20 DINING ROOM ADDITION Expires: 03/22/2005
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: 45282.2106 Zoning:
Owner: SIBLERUD, L E
Applicant: SIBLERUD, L E Phone:
Address: 11306E 18TH AVE
SPOKANE,WA 99206-5620
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 20910 PLAN CHECK FEE 134.10
REROOF N BASIC PERMIT FEE 335.25
NON-HEATED N WSBCC SURCHARGE 4.50
BUILDING HEIGHT TO PEAK 12 Total Calculated: 473.85
DIMENSIONS 14 X 20 Deposits/Receipts: 0.00
COST OF PROJECT 8500.
#OF STORIES 1 Total Due: 473.85
FRONT SETBACK NA
REAR SETBACK 50
LEFT SETBACK NA
RIGHT SETBACK 16
FLANKING SETBACK 16
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 102 X 130
CURRENT PROPERTY USE UR 3.5 Tame
SERVED BY SEPTIC SYSTEM no
WELLS LOCATED ON PROPERTY no OR Old'= r.oiAPt,.;A'`/
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THIS IS NOT A RECEIPT
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.0,00Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07733
Job Address: 11306 E 18TH AVE Applied: 09/23/2004
SPOKANE WA 99206-5620 Issued: 09/23/2004
Description: 14 X 20 DINING ROOM ADDITION Expires: 03/22/2005
OWNER CONTRACTOR
Subdivision: Lot: Blk: Parcel No: 45282.2106 Zoning:
Owner: SIBLERUD, L E
Applicant: SIBLERUD, L E Phone:
Address: 11306E 18TH AVE
SPOKANE,WA 99206-5620
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 20910 PLAN CHECK FEE 134.10
REROOF N BASIC PERMIT FEE 335.25
NON-HEATED N WSBCC SURCHARGE 4.50
BUILDING HEIGHT TO PEAK 12 Total Calculated: 473.85
DIMENSIONS 14 X 20 Deposits/Receipts: 473.85
COST OF PROJECT 8500.
#OF STORIES 1 Total Due: 0.00
FRONT SETBACK NA
REAR SETBACK 50
LEFT SETBACK NA
RIGHT SETBACK 16
FLANKING SETBACK 16
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-b
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 102 X 130
CURRENT PROPERTY USE UR 3.5
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' ure to the pro erty owner.
L 4,00" 7/2 ,4A2
Print Name ignaure Date
Staff Initials
THIS IS NOT A RECEIPT