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1999, 05-14 Permit App: 99004173 RemodelProject Number: 99004173 Inv: 1 Application Date: 5/14/99 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: COMPLETION OF BASEMENT & BATHROOM Contact: SHEPARD, LEE Address: 15903 E BENZ DR C - S - Z VERADALE, WA 99037 Phone: (509) 921-5445 Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005277 Name: RIDGEMONT ESTATES NORTH District: Parcel Number: 45252.0502 SiteAddress: 15903 E BENZ DR Owner: Name: SHEPARD, LEE VERADALE, WA 99037 Address: 15903 E BENZ DR Location:: VER VERADALE, WA 99037 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 11,256 Sq Ft Width: 105 Depth: 78 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Comments: Permits: Review Plan Review y . 460- If Contractor: OWNER Address: 0 000000,00 000000 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Remodel Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: 0 Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Cm Tie Notes So Ft Valuation So Ft Valuation RESIDENCE R-3 VN BSMT. 0 5900.00 0 $900.00 REMODEL Totals: 0 $900.00 0 $900.00 Item Description nits Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $35.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70 Permit Total Fees: $47.20 Project Number: 99004173 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/14/99 Page 2 of 2 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $25.00 Permit Total Fees: Plstmrbing Permit $35.00 Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Item Description TOILETS/BIDETS SINKS SHOWERS MINIMUM FEE ADJUSTMENT Payment Summary: Operator: JDL Permit Type Building Permit Mechanical Permit Plumbing Permit Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Select Printed By: JDL Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $17.00 $35.00 Print Date: 5/14/99 Fee Amount Invoice Amount Amount Paid Amount Owing $47.20 $47.20 $0.00 $47.20 $35.00 $35.00 $0.00 $35.00 $35.00 $35.00 $0.00 $35.00 $117.20 $117.20 $0.00 Notes:.;..... WATER DIST APPROVAL REQUIRED. FIRE DIST APPROVAL REQUIRED FROM UTILITES PER BILLY URHAUSEN 1/20/94 CKF $117.20