2002, 10-07 Permit App: 02008796 RemodelProject Number: 02008796 Inv: 1
Application
Date: 10/7/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT
Setbacks: Front
Left: Right: Rear:
Site Information:
.......................................
Plat Key: 006156 Name: SHELLEY LAKE 3RD ADD PUD
Contact: GEORGE H WHITE INC
Address: PO BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 921-9752
Group Name:
Project Name:
District:
F
Parcel Number: 45244.2703 Block: 3
SiteAddress: 854 S SHELLEY LAKE LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Lot: 3
Owner: Name: GEORGE H WHITE INC
Address: PO BOX 52
LIBERTY LAKE, WA 99019
Hold: ❑
Area: 9,590 Sq Ft Width: 70 Depth: 113 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
................................
Operator: RMB Printed By: RMB Print Date: 10/7/2002
Project Number: 02008796 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 10/7/2002
Contractor: GEORGE H WHITE CONST
Address: 0 BOX 52
LIBERTY LAKE, WA 99019
Building Characteristics
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Finn: GEORGE HARVARD WHITE CON
Phone: (509) 921-9752
Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Description Grp Type Notes
BASEMENT R R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Type:
Building Height:
Sprinklers: 0
Critical Materials: 0
This Application:
Sq Ft Valuation
1,315 $5,904.35
Totals: 1,315 $5,904.35
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories:
Total Project:
Sq Ft Valuation
1,315 $5,904.35
1,315 $5,904.35
Fee Amount
$113.00
$4.50
$24.86
$142.36
Fee Amount Invoice Amount Amount Paid Amount Owing
$142.36 $142.36 $0.00 $142.36
$142.36 $142.36
$0.00 $142.36
Page 2 of 2
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 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: RMB Printed By: RMB
Print Date: 10/7/2002