2004, 09-23 Permit: BLD-04-07728 Addition Spokane
4010 Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07728
Job Address: 10722 E 21ST AVE Applied: 09/23/2004
SPOKANE WA 99206-5629 Issued: 09/23/2004
Description: 23 X 16(2)BEDROOM ADDITION TO RESIDENCE Expires: 03/22/2005
Subdivision: Lot: Blk: Parcel No: 45282.2904 Zoning:
Owner: AUSTING, RICHARD&RHONDA
Applicant: AUSTING, RICHARD&RHONDA Phone: (509)924-4625
Address: 10722E 21ST AVE
SPOKANE,WA 99206-5629
Contractor: Phone:
Address: Lic No:
General Information: Fees:
VALUATION 27482 PLAN CHECK FEE 168.62
REROOF N BASIC PERMIT FEE 421.55
NON-HEATED N WSBCC SURCHARGE 4.50
BUILDING HEIGHT TO PEAK 13'6" Total Calculated: 594.67
DIMENSIONS 23 X 16 Deposits/Receipts: 594.67
#OF STORIES 1
#OF BEDROOMS 2 Total Due: 0.00
FRONT SETBACK 21
REAR SETBACK N/A
LEFT SETBACK EXISTING
RIGHT SETBACK N/A
OCCUPANCY GROUP r-3
CONSTRUCTION TYPE 5-n
STRUCTURES ON PROPERTY 1
CURRENT PROPERTY SIZE 101 X 130
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 per it i ure to the property owner.
la DAL/ sAZ
Li 36(1-zi
Print Name Signature at
Staff Initials
THIS IS NOT A RECEIPT