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2005, 09-27 Permit App: 05003516 Plumbing FixturesProject Number: 05003516 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/27/2005 Page 1 of 2 Project Information: Permit Use: 42 PLUMBING FIXTURES Contact: ACCURATE PLUMBING Address: PO BOX 929 C - S - Z: ATHOL, ID 83801 Setbacks: Front Phone: (208) 683-2144 Group Name: Project Name: Site Information: Plat Key: Left: Right: Rear: Name: SHP-15-04 District: Nort Parcel Number: 45164.0501 SiteAddress: 118 N BOWDISH RD Location:: CSV Block: Zoning: UR -22 Urban Residential -22 Water District: 011 MODERN Lot: 4 Owner: Name: HIGH WING CONSTRUCTION INC Address: 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: Permits: Contractor: ACCURATE PLUMBING Address: PO BOX 929 ATHOL, ID 83801 Plumbing Permit Firm: ACCURATE PLUMBING Phone: (208) 683-2144 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 9 NUMBER OF $54.00 SINKS 12 NUMBER OF $72.00 SHOWERS 3 NUMBER OF $18.00 TUBS 3 NUMBER OF $18.00 CLOTHES WASHER 3 NUMBER OF $18.00 ELECTRIC HOT WATER TANK 3 NUMBER OF $18.00 WATER PIPING - DWV 9 NUMBER OF $54.00 PROCESSING FEE 1 SELECT $35.00 Permit Total Fees: $287.00 Operator: CJJ Printed By: KJK Print Date: 09/27/2005 Project Number: 05003516 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/27/2005 Page 2 of 2 Payment Summary: Permit Type Plumbing Permit Fee Amount Invoice Amount $287.00 $287.00 Amount Paid Amount Owing $287.00 $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: 09/27/2005