2004, 04-28 Permit App: 04002647 AdditionProject Number: 04002647 Inv: 1
Application
Date: 4/28/2004 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDTL 200 SF OF GARAGE Contact: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Setbacks: Front Left: Right: Rear: Phone: (509) 487-9792
Group Name:
Site Information: Project Name:
Plat Key: Name: SUMMERFIELD EAST 04TH ADD District: H
Parcel Number: 46354.9050 Block: 18
SiteAddress: 14903 E CROWN AVE
SPOKANE, WA USA 99216
Location:: SPO
Lot: 3
Owner: Name: DOUGLASS, HARLEY
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Zoning: UR -3.5 Urban Residential 3.5
Water District: 001 TRENTWOOD Hold: ❑
Area: ;,658.00 Acres Width: 103 Depth: 152 Right Of Way (ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Permits:
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 200 $2,400.00 200 $2,400.00
Totals: 200 $2,400.00 200 $2,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $75.50
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL SURCHARGE 1 SELECT $16.61
REGIONAL PLNG SURCHARGE 1 SELECT $12.08
Permit Total Fees: $108.69
Operator: JAS Printed By: JAS Print Date: 4/28/2004
Project Number: 04002647 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/28/2004 Page 2 of 2
Payment Summary:
Permit Type
Building Permit
Fee Amount
$108.69
$108.69
Invoice Amount
$108.69
$108.69
Amount Paid
$ 0.00
$ 0.00
Amount Owing
$108.69
$108.69
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
complied with. 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.
Signature:
Operator: JAS Printed By: JAS
Print Date: 4/28/2004