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2002, 04-09 Permit App: 02002349 Fire Damage RepairProject Number: 02002349 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/9/2002 Page 1 of 2 Project Information: Permit Use: FIRE DAMAGE REPAIR Setbacks: Front Site Information: Plat Key: 000226 Name: BOOTH'S SUB, TR49, TRENTWOOD Left: Right: Rear: Contact: BELFOR CONSTRUCTION Address: 10020 E. KNOX, SUITE 100 C - S - Z: SPOKANE, WA 99206 Phone: (509) 893-0001 Group Name: Project Name: District: H Parcel Number: 45031.1919 Block: 49 Lot: 8-9 SiteAddress: 4403 N MAYHEW RD SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -3.5 Water District: Area: 9,786 Sq Ft Nbr of Bldgs: 0 Review Information: Urban Residential 3.5 Width: 0 Nbr of Dwellings: 0 Owner: Name: PARTRIDGE, STEVE Address: 4403 N MAYHEW RD SPOKANE, WA 99216-1295 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Plan Review Permits: Released By. jy*,. j, rit - 66 HOLD FOR FIELD INSPECTION SCHEDULED FOR 4/11 Operator: CKF Printed By: PSS Print Date: 4/9/2002 Project Number: 02002349 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/9/2002 Page 2 of 2 Contractor: BELFOR CONSTRUCTION Address: 10020 E. KNOX SUITE 100 SPOKANE, WA 99206 Building Permit Firm: BELFOR CONSTRUCTION Phone: (509) 893-0001 Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: s Building Sq Ft: Req Parking: Handicap Parking: Description Grp Type Notes RESIDENCE R-3 VN FIRE DAMAGE REPAIR Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Totals: Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 0 $18,000.00 0 $18,000.00 0 $18,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $325.36 $325.36 $325.36 $325.36 0 $18,000.00 Fee Amount $263.00 $4.50 $57.86 Amount Paid $325.36 $325.36 $325.36 Amount Owing $0.00 $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 he 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 contrued 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: PSS Print Date: 4/9/2002