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2002, 11-12 Permit App: 02010104 Finish BasementProject Number: 02010104 Inv: 1 Application Date: 11/12/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FINISH BASEMENT - REC ROOM, OFFICE, BEDROOM Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 000000 Name: UNKNOWN Contact: POSHUSTA, PAUL N & JUDA D Address: 1221 N BOEING RD C - S - Z: SPOKANE, WA 99206-4075 Phone: (509) 000-0000 Group Name: Project Name: District: F Parcel Number: 45172.0308 Block: SiteAddress: 1221 N BOEING RD Spokane, WA USA 99206 Location:: SPO Zoning: UR -3.5 Water District: Area: 11,600 Sq Ft Nbr of Bldgs: 0 Review Information: Review Plan Review Urban Residential 3.5 Width: 0 Nbr of Dwellings: 0 Lot: Owner: Name: Address: POSHUSTA, PAUL N & JUDA D 1221 N BOEING RD SPOKANE, WA 99206-4075 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released B Septic System Review Rm. 432. Permits: Released By: Operator: RMB Printed By: RMB Print Date: 11/12/2002 Project Number: 0201010-1 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/12/2002 Contractor: OWNER Building Permit Page 2 of 2 Firm: OWNER Phone: Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: s Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type BASEMENT R R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: ❑ This Application: Total Project: Notes Sq Ft Valuation Sq Ft Valuation sc / r5t $3,816.50 850 $3,816.50 Totals: 850 $3,816.50 850 $3,816.50 Units Unit Desc Fee Amount 1 Y OR BLANK $88.00 1 Y OR BLANK $4.50 1 Y OR BLANK $19.36 Permit Total Fees: $111.86 Fee Amount Invoice Amount Amount Paid Amount Owing $111.86 $111.86 $0.00 $111.86 $111.86 $111.86 $0.00 $111.86 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: RMB Printed By: RMB Print Date: 11/12/2002