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2002, 08-12 Permit App: 02006876 Garage Fire DamageProject Number: 02006876 Inv: 1 Application Date: 8/12/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FIRE DAMAGE REPAIR TO GARAGE Contact: CAPSTONE CONSTRUCTION Address: 2917 E FRANCIS C - S - Z: SPOKANE, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 468-4981 Group Name: Site Information: Project Name: Plat Key: 001641 Name: MIRABEAU RANCH ADD District: H Parcel Number: 45091.1451 Block: Lot: SiteAddress: 11926 E BUCKEYE AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: PETTET, JIM & MARGE Address: 11926 E BUCKEYE AVE SPOKANE, WA 99206 Hold: ❑ Review Plan Review Permits: Operator: CKF Printed By: CKF Print Date: 8/12/02 Project Number: 02006876 Inv: 1 Appl ication THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/12/02 Contractor: CAPSTONE CONSTRUC'T'ION Address: PO BOX 388 NINE MILE FALLS, WA 99026 Building Characteristics Building Permit Firm: CAPSTONE CONSTRUCTION Phone: (509) 326-0908 Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description GARAGE Grp Type U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Notes FIRE DAMAGE REPAIR Totals: Type: Building Height: Stories: Sprinklers: LI Critical Materials: ❑ This Application: Total Project: Sq Ft Valuation So Ft Valuation 0 $35,000.00 0 $35,000.00 0 $35,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Fee Amount $543.74 $543.74 Permit Total Fees: Invoice Amount $543.74 $543.74 0 $35,000.00 Fee Amount $442.00 $4.50 $97.24 Amount Paid $543.74 $543.74 $543.74 Amount Owing $0.00 $0.00 Page 2 of 2 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: CKF Printed I3y: CKF Print Date: 8/12/02