2002, 06-18 Permit: 02004890 Fire Damage RepairProject Number: 02004890 Inv 1
Application
Date: 6/18/2002 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
Setbacks: Front
Site Information:
Plat Key: 001866 Name: ORCHARD AVENUE ADD (TR1-228)
Left: Right: Rear:
Contact: CAPSTONE CONSTRUCTION
Address: 2917 E FRANCIS
C - S - Z: SPOKANE, WA 99216
Phone: (509) 468-4981
Group Name:
Project Name:
Parcel Number: 45063.3208
Block:
SiteAddress: 3421 N ELTON RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 6,108 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: BAUS, CHERYL L
Address: 3421 N ELTON RD
SPOKANE, WA 99212
District:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
to 10
Review
//
Permits:
Released By: •^� :,
Operator: RMB Printed By: RMB
Print Date: 6/18/2002
Project Number: 02004890 Inv: I
'Application
6h8/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: CAPSTONE CONSTRUCTION
Address: PO BOX 388 Phone: (509) 326-0908
NINE MILE FALLS, WA 99026
Building Characteristics
Building Permit
Firm: CAPSTONE CONSTRUCTION
Const Category: Remodel Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: Y Building Sq Ft:
Req Parking: Handicap Parking:
Description Gni Type Notes
RESIDENCE R-3 VN FIRE
DAMAGE
REPAIR
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals:
Units
1
1
Type:
Building Height: Stories:
Sprinklers:
Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $60,000.00 0 $60,000.00
0 $60,000.00
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
0 $60,000.00
Fee Amount
$642.50
$4.50
$141.35
$788.35
Fee Amount Invoice Amount Amount Paid Amount Owing
$788.35 $788.35 $788.35 $0.00
$788.35
$788.35 $788.35
$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 he
complied with. Subsequent issuance of a permit shall not he contrued to he 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: 6/18/2002