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2009, 09-08 Permit App: 09002868 Mechanical FixturesProject Number: 09002868 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/8/2009 Page 1 of 2 Project Information: Permit Use: 1 AIR HANDLER, 4 VENT AND EXHAUST, 1 TYPE Contact: ACI NORTHWEST Address: 6600 N GOVERNMENT WAY C - S - Z: COEUR D ALENE, ID 83815 Setbacks: Front Left: Right: Rear: Phone: (208) 772-9571 Group Name: Project Name: NOODLE EXPRESS Site Information: Plat Key: Name: Range District: East I HOOD Parcel Number: 45144.0115 Block: SiteAddress: 15421 E SPRINGFIELD AVE Location:: CSV Lot: Owner: Name: CLARK, MARSHALL & KIMBERL Address: 111 W NORTH RIVER DR #201 SPOKANE, WA 99201-2253 Zoning: C Community Commercial Water District: 010 VERA Area: .27 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: Depth: 0 Right Of Way (ft): 0 Review Plan Review Permits: Mechanical Permit Contractor: ACI Firm: ACI Address: 6600 N GOVERNMENT WAY Phone: COEUR D'ALENE ID 83815 Item Description HOOD - TYPE I AIR HANDLER <=10,000 CFM PROCESSING FEE VENTILATION SYSTEM Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 SELECT 4 NUMBER OF Operator: jmm Printed By: jmm (208) 777-8013 Fee Amount $52.00 $13.00 $37.00 $52.00 Permit Total Fees: $154.00 Print Date: 9/8/2009 Project Number: 09002868 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/8/2009 Page 2 of 2 Notes: NW corner of Progress and Sprague (parent Parcel No. 45144.2145) IS NOT ALLOWED ANY individual freestanding or monument signs for Tract A-E of BSP -03-04. See project No. 05-001343 for multi -business complex sign. (4-26-05) KK Progress Elementary parcels 45144.0317 and 45144.1031 have restrictive environmental covenant placed upon them. See building address file for copy of Environmental Covenant. Payment Summary x .. .0 w. . ,4 ,, _.�.. ,;,.� .- ... � ::. 0. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $154.00 $154.00 $0.00 $154.00 $154.00 $154.00 $0.00 $154.00 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 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: jmm Printed By: jmm Print Date: 9/8/2009