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2005, 10-14 Permit App: 05003819 Mechanical Fixtures Unit BProject Number: 05003819 Inv: 1 Application THIS ISNOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/14/2005 Page 1 of 2 Project Information: .,..:.,.....mtV,',,.,w.,,,INTK 1'a.V.I, .«" Permit Use: MECHANICAL FIXTURES -UNIT B Setbacks: Front Site Information: Plat Key: Left: Right: Rear: 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 Nbr of Bldgs: 1 Review Information: Review Plan Review Permits: Nbr of Dwellings: 3 Lot: 3 Owner: Name: Address: HIGH WING CONSTRUCTION INC 601 E SELTICE WAY STE 7-B POST FALLS, ID 83854 Hold: ❑ Depth: 118 Right Of Way (ft): 50 Contractor: RAIN DANCE PROPERTY Address: 9443 N GOVERNMENT WAY HAYDEN LAKE, ID 83835 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING CLOTHES DRYER HOOD -TYPE II GAS APPLIANCE - MISC. PROCESSING FEE Mechanical Permit Firm: RAIN DANCE PROPERTY MAIN Phone: (208) 762-9857 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 SELECT Operator: CJJ Printed By: KJK 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: 05003819 Inv: 1 \Application THIS ISNOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/14/2005 Page 2 of 2 Notes: ,-,n,. ,;.; Payment Summary: Permit Type Mechanical Permit i •:'•'k ,"R vsa, rEtx. x'i°ffi "^. 045':R.';Y`;1'»:n7057,Yii%.4, '"::'1`g.- '......a.�z'a....,.�!.. <:3,...... ..., •��e:,":�"a't..M:a, i.G'w:,....,: Rt��;%.. Qa ,C,r-aae'•_ 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