2004, 10-28 Permit BLD-04-08062 2 Decka\i() ,`2 Cl L L co / J
Print Name
Spokane
4.000Valley RESIDENTIAL ADDITION/REMODEL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address. 10506 E 4TH AVE
SPOKANE VALLEY WA 99206
Description: 1 - 300 SQ FT DECK & 1 - 33 SQ FT DECK SELF SUPPORTING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: Blk: Parcel No:
OPFER, NEIL D
GL MOMB Phone: (509) 927-9708
23204 E INLET DR
LIBERTY LAKE, WA 99019-
G L MOMS CONSTRUCTION
23204 E INLET DR
LIBERTY LAKE WA 99019-
Phone:
Lic No:
(509) 927-9708
GLMOMLM977P9
Permit #:
Applied:
Issued:
Expires:
BLD-04-08062
Zoning:
10/28/2004
10/28/2004
04/26/2005
General Information:
VALUATION
REROOF
NON -HEATED
DIMENSIONS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
5070
N
N
300 & 38
55
20
20
20
r-3
5-b
1
100 X 149
no
no
Fees.
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
50.10
125.25
4.50
179.85
179.85
0.00
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.
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Signature
/Zg/
Date /
Staff Initials
THIS IS NOT A RECEIPT