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1999, 11-10 Permit App: 99010883 Repair GarageProject Number: 99010883 Inv: 1 ApplLead on Date: 11/10/19 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPAIR 12 X 18 SECTION OF GARAGE (WORK ALREADY COMPLETE) Setbacks- Front Left: Site Information: Plat Key: 999999 Name: RANGE Right Rear: Contact: Address: C - S - Z Phone: CLARK, JANE 2124 S EVERGREEN RD VERADALE, WA 99037 (509) 924-9107 District: Parcel Number: 45271.9050 SiteAddress: 2124 S EVERGREEN RD VERADALE, WA 99037 Location:: VER Zoning: UR -3.5 Watcr District: Area: .00 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Urban Residential 3.5 Review Information: Owner: Name Address CLARK, LYLE & JANE 2124 S EVERGREEN RD VERADALE, WA 99037 1-Iold• ❑ Depth: 0 Right Of Way (ft): 0 Department Review 13UILDING Permits• , Comments: Plan Review t,%o,ek— AcQC--.c\-P--( IY'0820yA-A5; L SIE-tpillJSt- culo/J Contractor: OWNER Address: 0 000000, 00 000000 Budding Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category Remodel Nbr Of Dwellings: Occupant Load: Bldg W x D. s Building Sq Ft. Req Parking: Handicap Parking: Description Crp Type Notes GARAGE U-1 VN REPAIR Item Description RESIDENTIAL VALUATi^N STATE SURCHARGE RESIDENTIAL SURCHARGE Building Height- Sprinklers: eightSprinklers: 0 Critical Materials: 0 This Application: Sq Ft Valuation C $600.00 Totals: 0 5600.00 Units Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Stories: Total Project: So Ft Valuation 0 $600.00 0 $600.00 Fee Amount 535.00 $4.50 $7.70 $47.20 Project Number: 99010883 Inv: 1 A: licxtion THIS IS NOT A PERMIT -• Penalties will be assessed for commencing work without a permit Date: 11/10/19 Page 2 of 2 Payment Summary: Operator: RMB Printed By: RMB Print Date: 11/10/1999 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.20 $47.20 $0.00 $47.20 $47.20' $47.20 $0.00 $47.20 Notes: