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2001, 11-26 Permit App: 01010391 RemodelProject Number: 01010391 Inv: 1 Npplication THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Date: 11/26/2001 Page 1 of 2 ........................................................... Permit Use: FINISH BASEMENT - INSULATION, WALLS, 1 Contact: GARLOCK, JEFF CLOSET Address: 15924 E RADCO DR C - S - Z: VERADALE, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 926-4515 Group Name: Site Information: Project Name: Plat Key: 005379 Name: RIDGEMONT ESTATES NORTH 4TH ADD District: F Parcel Number: 45252.9059PTN Block: Lot: SiteAddress: 15924 E RADCO DR Owner: Name: GARLOCK, JEFF VERADALE, WA 99037 Address: 15924 E RADCO DR Location:: VER VERADALE, WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District Hold: ❑ Area: 0 Sq Ft Width: 80 Depth: 130 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Operator: DMD Printed By: DMD Print Date: 11/26/2001 Project Number: 01010391 Inv: 1 Applicatiorr Date: 11/26/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Address: 0 000000, 00 000000 Const Category: Remodel Nbr Of Dwellings: Bldg W x D: Req Parking: Firm: OWNER Phone: (000) 000-0000 Building Characteristics Group: Occupant Load: x Building Sq Ft: Handicap Parking: Description gm Type Notes RESIDENCE R-3 VN FINISH BASEMENT Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: Critical Materials: El This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 0 $1,000.00 0 $1,000.00 Totals: 0 $1,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: OK TO ISSUE SEWER PERMITS PER BILLY 5/17/95 CKF Payment Summary: Permit Type Building Permit 0 $1,000.00 Fee Amount $35.75 $4.50 $7.87 $48.12 Fee Amount Invoice Amount Amount Paid Amount Owing $48.12 $48.12 $0.00 $48.12 $48.12 $48.12 $0.00 $48.12 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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 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: DMD Printed By: DMD Print Date: 11/26/2001