2005, 01-07 Permit App: 05000086 Fire Damage RepairProject Number: 05000086 Inv:
Application
THIS IS NOT ATERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FIRE DAMAGE REPAIR TO RESIDENCE Contact: A-1 GENERAL CONTRACTORS
Address: 6410 N MONROE
C - S - Z: SPOKANE WA 99208
Setbacks: Front Left: Right: Rear: Phone: (509) 328-3054
Group Name:
Project Name:
Date: 01/07/2005 Page 1 of 2
Site Information:
Plat Key: 001035 Name: GRAHAMS SUB TR 25 & 26 OPP
District:
Parcel Number: 45171.0709 Block:
SiteAddress: 1223 N HERALD RD
Location:: CSV
Zoning: AGSUB
Water District:
Lot:
Owner: Name: BITTNER, JIM
Address: 1223 N HERALD RD
SPOKANE VALLEY, WA 99206
Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Released By
Permits:
Building Permit
Contractor: A-1 GENERAL CONTRACTORS Firm: A-1 GENERAL CONTRACTORS IN
Address: 6410 N MONROE ST
SPOKANE, WA 99208
Phone: (509) 328-3054
This Application: Total Project:
Description am Type Notes So Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VB FIRE 0 $800.00 0 $800.00
DAMAGE
REPAIR
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 0 $800.00 0 $800.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $4.50
Permit Total Fees: $73.75
Operator: DMD Printed By: MT Print Date: 01/07/2005
Project Number: 05000086 Inv: 1
Application
THIS IS NOT A'PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/07/2005 Page 2 of 2
MUST MEET ALL REQUIREMENTS OF FIELD INSPECTION.
Payment Summary::::;::;:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$73.75 $73.75
$73.75
$73.75 $0.00
$73.75 $73.75
$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 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: DMD Printed By: MT Print Date: 01/07/2005