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2005, 11-01 Permit App: 05004119 Plumbing FixturesProject Number: 05004119 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/01/2005 Page 1 of 2 Project Information: Permit Use: 42 PLUMBING FIXTURES Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: SHP-15-04 Contact: ACCURATE PLUMBING Address: PO BOX 929 C - S - Z: ATHOL, ID 83801 Phone: (208) 683-2144 Group Name: Project Name: District: Nort Parcel Number: 45164.0501 SiteAddress: 116 N BOWDISH RD Location:: CSV Block: Zoning: UR -22 Urban Residential -22 Water District: 011 MODERN Lot: 3 Owner: Name: Address: HIGH WING CONSTRUCTION INC 601 E SELTICE WAY STE 7-B POST FALLS, ID 83854 Hold: ❑ Area: 0 Sq Ft Width: 80 Depth: 118 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 3 Review Information: Review Plan Review Permits: L:<.:;�:...>„ .... • • Contractor: ACCURATE PLUMBING Address: PO BOX 929 ATHOL, ID 83801 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER ELECTRIC HOT WATER TANK WATER USING DEVICES PROCESSING FEE Plumbing Permit Finn: ACCURATE PLUMBING Phone: (208) 683-2144 Units Unit Desc 9 NUMBER OF 9 NUMBER OF 3 NUMBER OF 3 NUMBER OF 3 NUMBER OF 3 NUMBER OF 3 NUMBER OF 3 NUMBER OF 6 NUMBER OF 1 SELECT Operator: CJJ Printed By: KJK Permit Total Fees: Fee Amount $54.00 $54.00 $18.00 $18.00 $18.00 $18.00 $18.00 $18.00 $36.00 $35.00 $287.00 Print Date: 11/01/2005 Project Number: 05004119 Notes: Inv: 1 -App"lication THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/01/2005 Page 2 of 2 Payment Summary: Permit Type Plumbing Permit Fee Amount Invoice Amount $287.00 $287.00 Amount Paid $287.00 Amount Owing $0.00 $287.00 $287.00 $287.00 $0.00 • ,. 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: CJJ Printed By: KJK Print Date: 11/01/2005