2003, 05-19 Permit App: 03000822 Remodel Project Number: 03000822 Inv: 1 Application Date: 5/19/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH 2 LOWER LEVELS(FAMILY RM, Contact: SATHER,CHRISTOPHER M.
BATHRM,LAUNDRY,BEDRM,OFFICE Address: 1614 N POTOMAS LN
C-S-Z: GREENACRES,WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509)891-4178
Group Name:
Site Information:
Project Name:
Plat Key: 005835 Name: RIVERWALK 07TH ADD PUD District: G
Parcel Number: 55083.2503 Block: 5 Lot: 3
SiteAddress: 1614 N POTOMAC LN Owner:Name: SATHER,CHRISTOPHER M.
GREENACRES,WA USA 9901 Address: 1614 N POTOMAS LN
i.ocation::GRE GREENACRES.WA 99016
Zoning: UR-7 Urban Residential-7
Water District: 008 CONSOLIDATED IRRG#1 Hold:
Area: 1,261.00 Acres Width: 60 Depth: 135 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review 1 4 .
Released By: _ (- k _3Aa tc4
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
This Application: Total Project:
Description Grp Type Notes S i Ft Valuation Sci Ft Valuation
BASEMENT R R-3 VN 786 $3,529.14 786 $3,529.14
Totals: 786 $3,529.14 786 $3,529.14
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $88.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36
Permit Total Fees: $111.86
Operator: CKF Printed By: GMW Print Date: 5/19/2003
Project Number: 03000822 Inv: 1 Application Date: 5/19/2003 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $25.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units unit Desc Fee Amount
TOILE I S'BIDLTS 1 'L.AIBER OF $6.00
SINKS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT I Select $17.00
Permit Total Fees: $35.00
Notes:
OK TO ISSUE SEWER PERMITS PER ROGER 12/16/97
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$181.86 $181.86 $0.00 $181.86
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: GMW Print Date: 5/19/2003