1986, 09-05 Permit: 00012982 ResidenceSIGNATURE OF APPLICATION
,OWNER ORAGEN DATE
|
JOB ADDRESS � �' � '/ ~+� � PR0JECT#
5214 N DAVIS
RD
'
�
' MULTIPLE
ST:WA
"99246
0 Drinking
Fount
f LME EXCAVATING
Drain Fee
24.00
T, 0KANE
$1.50
Energy Studies Surcharge `
'
Washer,
01 Kitchen Sink 01
TOTALFEE
$15.00
FEES:
PAID By:, ICA
Eject
CK
CO
NC
COUNTER APP:
01
PLANS EXJM:
PLA
0
Shower 0
Permit Fee
382.00
# of Floors 01 :11: of Bedrooms 000#
of Rooms
000
PRIMARY ST RUCTURE:
01-o-0.01 REE-31DENCE W/
GARAGE:'
USE OF PERMIT:
es c| D W E: I LJNG Croop| R-3
j.0 OR
Roof
SE
'
�
' MULTIPLE
Building Code Fee $1 .50
FIXTURESt Bar E.3ink
0 Drinking
Fount
Building Code Fee
Drain Fee
24.00
TOTAL FEE
$1.50
Energy Studies Surcharge `
'
Washer,
01 Kitchen Sink 01
TOTALFEE
$15.00
FEES:
PAID By:, ICA
Eject
CK
CO
NC
COUNTER APP:
01
PLANS EXJM:
DATE:
MECHAN TOTAL FEE $9.00
HEAT S T (BTU >� 00 or es 01 Over 100K 00 ' Fee 9.00
FUEL'SOURCE� Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION, Forced Air Y Radiant N - Heat Pomp N
PLUMBING
'
�
' MULTIPLE
1:11ERMIT
FIXTURESt Bar E.3ink
0 Drinking
Fount
Building Code Fee
Drain Fee
24.00
TOTAL FEE
$1.50
Energy Studies Surcharge `
'
Washer,
01 Kitchen Sink 01
TOTALFEE
$15.00
BUILDING -
Sewer
Eject
TOTALFEE
$382.U0
ValoatiVnCorr 44368
L�avaory
01
`
Urinal
0
Shower 0
Permit Fee
382.00
# of Floors 01 :11: of Bedrooms 000#
of Rooms
000
PRIMARY ST RUCTURE:
Garbage Disposal U
es c| D W E: I LJNG Croop| R-3
Type
Roof
Drains 0 �
Fee
Sg-F� 1067 OccoQancy Load
_VN
Rate
32.00
SE[ONDARY STRUCTURES�
'
15esc DW GUB Croo3
Typ�� VN
4�8 0 3, c5
*& 3 5 '5-.0 �
cl _Ft t Occwpancy Loa
Rate
6.00
Desc; CARACE CCoop* M-1
Type-.. VN
'
Sq-Ft 528 Occopancy �oad
Kate
8.00
MECHAN TOTAL FEE $9.00
HEAT S T (BTU >� 00 or es 01 Over 100K 00 ' Fee 9.00
FUEL'SOURCE� Electric N Cas Y Oil N Coal N Wood N Solar N
DISTRIBUTION, Forced Air Y Radiant N - Heat Pomp N
PLUMBING
�
TOTAL FEE
$28.00
FIXTURESt Bar E.3ink
0 Drinking
Fount
0 Floor
Drain Fee
24.00
C/W Pipe
01
Dish
Washer,
01 Kitchen Sink 01
Laundry Tray
0
Sewer
Eject
0 Water,
Closet 01
L�avaory
01
Urinal
0
Shower 0
Tb
01
Bidet
` 0
Other 0
Garbage Disposal U
Electric Water Hr eate01
Roof
Drains 0 �
Fee
4.00
Sewer ? N Sep7ic/Health
# 0
��,
O D 015 �'o 6
4�8 0 3, c5
*& 3 5 '5-.0 �
OFFICE COPY
INSP-ID - : .
DATE �3lCr �� g. �UI1(P /0-Z3 / .::3L -r6�