2003, 08-13 Permit: BLD-03-02221 Residencesliotane
4.0,0 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
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THIS IS NOT AP:ERMIT
Penalties wilt be assessed for
commencing work wilbattlyalpemit
NEW SINGLE FAMILY RESIDENTIAL
Job Address: 5128 N BURNS RD
SPOKANE VALLEY WA 99216
Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
DOUGLASS, HARLEY C INC
DOUGLASS, HARLEY C INC
8510 N CRESTLINE
SPOKANE, WA 99217
HARLEY C DOUGLASS INC
8510 N CRESTLINE
SPOKANE WA 99217
Application #: BLD -03-02221
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 46354.3813
Phone: (509) 487-1580
Phone:
Lic No:
(509) 487-9792
HARLECD110PE
Zoning:
08/13/2003
02/09/2004
General Information:
TYPE OF RESIDENTIAL PERMIT
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
DISHWASHER
FLOOR DRAINS
MISC PLUMBING FIXTURE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
sfr
102072
35
28 X 40
3
38
38
6
18
r-3
5-w
1
no
no
2
2
1
1
1
1
1
1
1
2
1
3
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
DISHWASHER
FLOOR DRAINS
MISCELLANEOUS PLUMBING FIXTURE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
404.22
1,010.55
4.50
12.00
12.00
6.00
6.00
6.00
15.00
10.00
10.00
10.00
2.00
10.00
30.00
1,548.27
0.00
1,548.27
W. OD
)517 3.2-2
- /5 &,3)
Spokane
1i1- alley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02221
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be in
compliance. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
jj.
' ant
AppI
Please print name here
S�/9 `0'3
Date
Counter Approval
THIS IS NOT A RECEIPT