1986, 11-18 Permit: 00014235 ResidenceSIGNAiiURE OF
OWNER OR AGENT
JOB ADDRESS
10915 E GERTRUDE ST /
VHitAS, CONST INC
iuyi°5 E GERTRUDE ST
�1 I]KANE "WA ='"199212
"rfiriiaa, CONST INC
rskAb "CONST INC
e°r b N ELTON CT
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;,PI.7KANE 'WA "99212
5109-926-5750 ina`lihi tI164KS
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01+001 RESIDENCE W/ GARAGE
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1MGERTRUDE ST
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Building Code Fee
Energy Studies Surcharge
BUILDING
Valuation: Curr 70280
4 of Floors 01 4 of Bedrooms 000
PRIMARY STRUCTURE:
Desc; DWELLING Group: R--3
Sq -Ft 1344 Occupancy Load
SECONDARY STRUCTURES:
Desc: DWE.:L..L:I:NG2F Group: R-3
Sq -Ft 1019 Occupancy Load
Desc: DWEL.LINGUB Group: R--3
Sq -Ft 1344 Occupancy Load
Desc: GARAGE Group: M-1
Sq -Ft 464 Occupancy Load
APPLICATION �/
DATE //-/t -- ev
PROJECT#
u 15617
",°:11/18/66
00014235
BUILDING - $509,00
MECHANICAL $38,50
PLUMBING $56.00
Building Code Fee $1.50
Energy Studies Surcharge $15,00
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$620.00
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• TOTAL. FEE
TOTAL FEE
TOTAL FEE
Permit Fee
ih of Rooms 000
Type: VN
Rate 32.00
Type: VN
Rate 16.00
Type: VN
Rate 6.00
Type: VN
Rate 6,00
MECHANICAL TOTAL.. FEE
APP:_: Dry 0 Range 0 Gas Log 0 Gas W/H 01 Solid Fuel. 02. Fee
GAS PIPING SYSTEM: (Quantity 02 ' Fee
HEAT SYSTEM (BTU); 100KC or Less 01 Over 100K 0 Fee
FUEL SOURCE: Electric N Gas Y Oil N Coal. N Wood N Solar N
DISTRIBUTION: Forced Air Y Radiant Y Heat Pump N
PLUMBING
FIXTURES: Bar Sink 0 prinking Fount
C/W Pipe 01 Dish Washer
Laundry Tray 0 Sewer Eject
Lavatory 03 Urinal.
Tub 02 Bidet
Sewer ? N Septic/Health 4 0
TOTAL FEE
0 Floor Drain 01 Fee
01 Kitchen Sink 01
0 Water Closet 03
0 Shower 01
0 Other , 0
.rb, D isposai 0'
�1-� 86 4445 *628,00;
OFFICE COPY
$1,50
$15.00
$509.00
509.00
$38.50
26.50
3.00
9.00
$56.
56.00
INSP-ID
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