2002, 04-16 Permit App: 02002601 ShopProject Number: 02002601 Inv: 1
Application
Date: 4/16/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Inforntation:
Permit Use: 24 X 26 DETACHED SHOP
Setbacks: Front EXI Left: 20+ Right: 17 Rear: 5
Site Information:
Plat Key: 003136 Name: VERA CREST District: F
Contact: SMITH, DARREN
Address: 1809 S BURNS RD
C - S - Z: VERADALE, WA 99037
Phone: (509) 891-6991
Group Name:
Project Name:
Parcel Number: 45261.2501
Block: Lot:
SiteAddress: 1809 S BURNS RD
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: SMITH, DARREN
Address: 1809 S BURNS RD
VERADALE, WA 99037
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Vre. CRAM
Site Plan Review Re
Permits:
Operator: RMB Printed By: RMB
Print Date: 4/16/2002
Project Number: 02002601
Inv: 1
, Application
THIS IS N�(JT A PERMIT
Date: 4/16/2002 Page 2 of 2
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W s D: 24 x
Req Parking:
Description
GARAGE
Firm: OWNER
Phone:
Building Characteristics
Group: U-1 Type: VN
1 Occupant Load:
26 Building Sq Ft:
0 Handicap Parking:
Grl� Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
0 Building Height: 15 Stories: 1
624 Sprinklers: ❑
0 Critical Materials:
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
624 $7.488.00 62-1 $7.488.00
Totals: 624 $7,488.00 624 $7,488.00
Units
1
1
1
Unit Desc Fee Amount
Y OR BLANK $138.00
Y OR BLANK $4.50
Y OR BLANK $30.36
Permit Total Fees: $172.86
Fee Amount Invoice Amount Amount Paid Amount Owing
$172.86 $172.86
$0.01) $172.86
$172.86 $172.86
$0.00 $172.86
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 he 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 contrued 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: RMB Printed By: RMB
Print Date: 4/16/2002
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ROAD WIDTH
FRONT
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This site plan in-ent-gbitlItterforthn-purperseref-----,
obtaining a 'ouilding permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bthes
Signed:
Day 02-
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