2003, 08-14 Permit: BLD-03-02232 Residence,pokane
.Valley
707 E. Sprague Ave., Suite 106
okfine Valley, WA 99206
/Z0 C'3- Z) / THIS IS NOTA PERMIT
Penalties will be assessed for
commencing work without a permit
NEW SINGLE FAMILY RESIDENTIAL
b Address: CROWN YSOKAVALWA 99216
ascription: NEW RESIDENCE W/ATTACHED GARAGE -GAS
abdivision:
wner:
pplicant:
,ddress:
:ontractor:
kddress:
HARLEY C. DOUGLASS, INC
HARLEY C. DOUGLASS, INC
8510 N CRESTLINE ST
SPOKANE, WA 99217-
HARLEY C DOUGLASS INC
8510 N CRESTLINE
SPOKANE WA 99217
3eneral 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
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
TOILETS
TUBS
SHOWERS (PER TRAP)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING (ea. OUTLET)
DUCT SYSTEMS
VENTILATING FANS
TYPE II HOOD
Lot: 2
sfr
114693
35
44 X 38
2
3
38
10+
9
8-6
r-3
5-w
NA
79.01 X 137.04
RESIDENCE
no
no
2
2
2
3
1
1
1
1
2
1
1
1
1
1
3
1
3
1
03
Application #:
grommail-
Applied:
Issued:
Expires: --
Blk: 18 Parcel No: 46354.3902
Phone:
Phone:
Lic No:
(509) 487-9792
HARLECD110PE
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
TOILETS
TUBS
SHOWERS
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
FLOOR DRAINS
WATER USING DEVICE
FUEL BURNING APPL <= 100,000
GAS LOG, INSERT, FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
GAS PIPING
DUCT SYSTEM
VENTILATING FANS
Total Calculated:
Deposits/Receipts:
Total Due:
Zoning:
0811412003
0214
1012004T--
431.10
1,077.75--
4.50
,077.754.50
12.00
12- --
12.06- --
18.00
-12.06-
18.00
6.00
6.00
6.00
6.00
12.00
15.00
10.00
10.00
10.00
10.00
3.00
10.00
30.00
1,70135
0.00
Spokane
�,f Valley
NEW SINGLE FAMILY RESIDENTIAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -03-02232
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.
wnership of resulting development rights granted by any issued permit inure to the property owner.
Applic
Please print name here
z5 -/e-03
Date Counter Approval
THIS IS NOT A RECEIPT