2007, 10-18 Permit App: 07004132 Addition=i
Project Number: 07004132 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/18/2007 Page 1 of 2
Project Information: .:. e..::.: ... .
Permit Use: 80 SQFT KITCHEN ADD ' Contact: DIVERSIFIY BUILDING & ELECTRIC
Address: PO BOX 28
C - S - Z: MICA, WA 99023
Setbacks: Front Left: Right: Rear: Phone: (509) 768-2434
Group Name:
Site Information: •
Project Name:
Plat Key: 001869 Name: ORCHARD AVE ADD REPLAT B 151,152, (FEES) District: Nort
Parcel Number: 45072.3306 Block:
SiteAddress: 8002 E FAIRVIEW AVE
Location:: CSV
Zoning: AGSUB
Water District:
Lot:
Owner: Name: SMITH, MICHAEL D
Address: 8002 E FAIRVIEW AVE
SPOKANE, WA 99212
Hold: ❑
Area: .00 Acres Width: 90 Depth: 148 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: __..__............ . . .... _.......,.,� ......
Review
Building Plan Review
Released By:
Septic Sys Review
Originally Released: 10/15/2007 By: tmelbourn
Released By:
Originally Released: 10/17/2007 By: LHALSEY
Landuse/Zoning/HE Conditions
Released By: -
Originally Released: 10/18/2007 By: CJJANSSE
Permits: ----
Operator: JD Printed By: JD
Print Date: 10/18/2007
of
Project Number: 07004732 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/18/2007 Page 2 of 2
Building Permit
Contractor DIVERSIFY BUILDING & Firm: DIVERSIFY BUILDING & ELECTR
Address: PO BOX 28 Phone: (509) 768-2434
MICA, WA 99023
Building Characteristics
Building Height 13.6
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB KITCHEN 0 $30,000.00 0 $30,000.00
ADDITION
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 0 $30,000.00 0 $30,000.00
Units Unit Desc Fee Amount
1 SELECT $441.75
1 SELECT $4.50
1 SELECT $176.70
Permit Total Fees: $622.95
Notes:
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $622.95 $622.95 $0.00 $622.95
$622.95 $622.95
$0.00 $622.95
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 be
complied with. Subsequent issuance of a permit shall not be construed 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: JD Printed By: JD
Print Date: 10/18/2007
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