2001, 03-12 Permit App: 01001399 Finish BathroomProject Number: 01001399 Inv: 1
^Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/12/01 Page 1 of 2
Project Information:
Permit Use: FINISH BATHROOM IN BASEMENT Contact: SMITH, BRIAN A
Address: 1610 S EVERGREEN RD
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 922-2010
Group Name:
Site Information: Project Name:
Plat Key: 002752 Name: VERA District:
Parcel Number: 45271.0914
Block: Lot:
SiteAddress: 1610 S EVERGREEN RD
VERADALE, WA 99037
Location:: VER
Zoning: UNKN Unknown
Water District
Owner: Name: SMITH, BRIAN A
Address: 1610 S EVERGREEN RD
VERADALE, WA 99037
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,
Permits* , -
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Phone: (000) 000-0000
Building Characteristics
Const Category: Remodel Group. Type:
Nbr Of Dwellings: Occupant Load. Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: ' Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENTF R-3 VN REMODEL 0 $100.00 0 $10000
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $100.00 0 $100.00
Units Unit Desc
1 Y OR BLANK
I Y OR BLANK
1 Y OR BLANK
Fee Amount
$35.00
$4.50
$7.70
Permit Total Fees: $47.20
Project Number: 01001399 Inv: 1
Applicaiiion
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/12/01 Page 2 of 2
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000,00 000000
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Address: 0
000000, 00 000000
Units Unit Desc
1 NUMBER OF
1 Select
Fee Amount
$10.00
$25.00
Permit Total Fees: $35.00
Plumbing Permit
Finn: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
SEWAGE EJECTOR 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Permit Total Fees: $35.00
Payment Saaiaaary•
Operator: JAS Printed By: JAS Print Date: 3/12/01
Permit Type
Building Permit
Mechanical Permit
Plumbing Pemmt
Notes•
Fee Amount Invoice Amount
$47.20
$35.00
$35.00
$47.20
$35.00
$35.00
$117.20 $117.20
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$47.20
$35.00
$35.00
$0.00 $117.20