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2002, 09-09 Permit App: 02007755 Detached GarageProject Number: 02007755 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/9/02 Page 1 of 2 Project Information: Permit Use: 20 X 22 DETACHED GARAGE (ALREADY RELOCATED) Setbacks: Front Site Information: Left:201'Right:, O Rear: 10 Plat Key: 000767 Name: FAIRACRES Block: Parcel Number: 45092.0719tube SiteAddress: NJO H NSON RD SPOKANE, WA 99206 Location:: SPO Zoning: UR 3.5 Water District: Contact: Address: C - S - Z: Phone: Group Name: Project Name: RUBERT, MIKE PO BOX 29 SPANGLE, WA 99031 (509) 448-2720 Area: 11,732 Sq Ft Width: 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Special Inspections 1,0 — 6: A kAAIG-L lay' -e, ZA5 Special Reviews Lot: Owner: Name: RUBERT, MIKE Address: PO BOX 29 SPANGLE, WA 99031 District: H Hold: ❑ Depth: 74 Right Of Way (ft): 36 Released By: £ $ _CL Z —00 ` —I z - Released By: Approach / Drainage Permits: Released By: 'P jReleased By: cl (3. 0Z. Operator: CKF Printed By: CKF Print Date: 9/9/02 Project Number: 02007755 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/9/02 Page 2 of 2 Contractor: OWNER Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description FOUNDATION Grp R-3 Building Permit Firm: OWNER Phone: Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type: Building Height: Sprinklers: Critical Materials: Stories: This Application: Total Project: Type Notes Sq Ft Valuation So Ft Valuation VN 440 $880.00 440 $880.00 Item Description RESIDENTIAL VALUATION Contractor: OWNER Item Description STATE SURCHARGE RELOCATION INSPECTION COUNTY SURCHARGE Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $35.01 $35.01 $0.00 $35.01 Relocation Permit $66.49 $66.49 $0.00 $66.49 Totals: 440 $880.00 Units Unit Desc 1 Y OR BLANK Permit Total Fees: Relocation Permit Firm: OWNER Phone: Units Unit Desc 1 Y OR BLANK 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: 440 $880.00 Fee Amount $35.00 $35.00 Fee Amount $4.50 $50.00 $11.99 $66.49 $101.50 $101.50 $0.00 $101.50 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: CKF Printed By: CKF Print Date: 9/9/02 I 191 ADDRESS ZONE 3 =-`�- ROAD NN' 6 DTH 54 FRONT 5 ' FLANKING - COMMENTS REVIEWED i; L Fly Jb` .a i 76 .' q / This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property linesldimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of water, Jeep sl�o jes or other c tical areas. S;red I(9C a �9iti Cze� Z