2005, 10-14 Permit App: 05003818 Mechanical Fixtures Unit AProject Number: 05003818 Inv: 1
Application
Date: 10/14/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
i=!zrKii'F. a xi PTEC,'''.421r,M11"47*,'",`S.:T714,,e0 "3' . 'an; ,1120444t"f^,r'gr, Mtn,lit*rkftfkInkr.W115".tlsg". P.A.r4aMOMPA,71/V.N.21,-.
Permit Use: MECHANICAL FIXTURES -UNIT A
Setbacks: Front
Left: Right: Rear:
Site Information:
,• , ,
Plat Key: Name: SHP-15-04
Contact: RAIN DANCE PROPERTY MAINTENAN
Address: 9443 N GOVERNMENT WAY
C - S - Z: HAYDEN, ID 83835
Phone: (208) 762-9857
Group Name:
Project Name:
District: Nort
Parcel Number: 45164.0501 Block:
SiteAddress: 116 N BOWDISH RD
Location:: CSV
Zoning: UR -22 Urban Residential -22
Water District: 011 MODERN
Area: 0 Sq Ft Width: 80 Depth: 118 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 3
Lot: 3
Owner: Name: HIGH WING CONSTRUCTION INC
Address: 601 E SELTICE WAY STE 7-B
POST FALLS, ID 83854
Hold: El
Review Information:
Review
Plan Review
Permits:
Contractor: RAIN DANCE PROPERTY
Address: 9443 N GOVERNMENT WAY
HAYDEN LAKE, ID 83835
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
CLOTHES DRYER
HOOD -TYPE II
GAS APPLIANCE - MISC.
PROCESSING FEE
Mechanical Permit
Units
1
1
3
1
1
1
1
Operator: CJJ Printed By: KJK
Firm: RAIN DANCE PROPERTY MAIN
Phone: (208) 762-9857
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
SELECT
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$10.00
$10.00
$10.00
$35.00
$90.00
Print Date: 10/14/2005
Project Number: 05003818 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/14/2005 Page 2 of 2
Payment Summary:
Permit Type
Mechanical Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$90.00 $90.00 $90.00
$0.00
$90.00 $90.00 $90.00 $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: 10/14/2005