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2003, 09-12 Permit: BLD-03-02463 ResidenceSpokane . Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL Job Address: 14816 E CROWN RD SPOKANE VALLEY WA 99216 Description: NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS Subdivision: Owner: Applicant: Address: Contractor: Address: DOUGLASS, LANZCE G DOUGLASS, LANZCE G 8510 N CRESTLINE SPOKANE, WA 99217 LANZCE DOUGLASS INC. 8510 N CRESTLINE SPOKANE WA 99217 Application #: BLD -03-02463 Applied: 09/12/2003 Issued: Expires: 03/10/2004 Lot: 9 Blk: 17 Parcel No: 46354.3809 Phone: (509) 483-6532 Phone: Lic No: (509) 483-6532 LANZCGD072P5 Zoning: General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # 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 SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 101043 20 53 X 52 1 2 32.5 40 6 15 r-3 5-w 1 no no 3 3 4 1 1 1 1 2 1 1 1 1 3 4 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: vt) THIS IS NOT A RECEIPT 401.98 1,004.95 4.50 18.00 18.00 24.00 6.00 6.00 6.00 6.00 12.00 15.00 10.00 10.00 10.00 3.00 40.00 1,595.43 0.00 1,595.43 9 3 k),,t1 :11 l7 Spo`"kane Walley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: go 073- Zig THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit NEW SINGLE FAMILY RESIDENTIAL 14816 E CROWN RD SPOKANE VALLEY WA 99216 NEW RESIDENCE W/ATTACHED GARAGE - NATURAL GAS DOUGLASS, LANZCE G DOUGLASS, LANZCE G 8510 N CRESTLINE SPOKANE, WA 99217 • LANZCE DOUGLASS INC. 8510 N CRESTLINE SPOKANE WA 99217 Application #: BLD -03-02463 Applied: Issued: Expires: Lot: 9 Blk: 17 Parcel No: 46354.3809 Phone: (509) 483-6532 Phone: Lic No: (509) 483-6532 LANZCGD072P5 Zoning: 09/12/2003 03/10/2004 General Information: TYPE OF RESIDENTIAL PERMIT VALUATION BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # 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 SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) VENTILATING FANS TYPE II HOOD sfr 101043 20 53 X 52 1 2 32.5 40 6 15 r-3 5-w 1 no no 3 3 4 1 1 1 1 2 1 1 1 1 3 4 1 Fees: PLAN CHECK FEE BASIC PERMIT FEE WSBCC SURCHARGE TOILETS TUBS SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL FLOOR DRAINS WATER USING DEVICE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE DRYER FUEL BURNING WATER HEATER GAS PIPING VENTILATING FANS Total Calculated: Deposits/Receipts: Total Due: 401.98 1,004.95 4.50 18.00 18.00 24.00 6.00 6.00 6.00 6.00 12.00 15.00 10.00 10.00 10.00 3.00 40.00 1,595.43 0.00 1,595.43 C ppAstu , 9S,t;O bP M3 THIS IS NOT A RECEIPT -/Sos Spokane ,,,.0Valley NEW SINGLE FAMILY RESIDENTIAL PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Permit #: BLD -03-02463 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 Staff Initials Signature Date THIS IS NOT A RECEIPT