2002, 03-15 Permit App: 02001655 Safety Inspect Project Number: 02001655 Inv: 1 • Application Date: 3/15/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SAFETY INSPECTION-FOR RESIDENCE IN Contact: FREEMAN CONSTRUCTION INC
PROGRESS Address: 841 VICTORIAN DR
C-S -Z: COEUR D'ALENE,ID 83814
Setbacks: Front Left: Right: Rear: Phone: (208)667-6181
Group Name:
Site Information: Project Name:
Plat Key: 003865 Name: RIDGEMONT ESTATES NO. 3 District: F
Parcel Number: 45251.0701 Block: 2 Lot: 1
SiteAddress: 2319 S STEEN RD Owner: Name: CARNEY EXCAVATION & DEV
VERADALE,WA USA 99037 Address: 308 S CASCADE
Location::VER RITZVILLE WA 99169
Zoning: UNKN Unknown
Water District: 010 VERA Hold: ❑
Area: 18,400 Sy Ft Width: 115 Depth: 160 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
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Plan Revi w, /
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Permits:
Building Permit
Contractor: FREEMAN CONSTRUCTION Firm: FREEMAN CONSTRUCTION INC
Address: 841 VICTORIAN DR Phone: (208) 667-6181
COEUR D'ALENE, ID 83814
Building Characteristics
Const Category: Change Of Use Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Item Description Units Unit Desc Fee Amount
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Total Fees: $54.5() di j2)
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Operator: DMD Printed By: DMD Print Date: 3/15/2002
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Project Number: 02001655 Inv: 1 Application Date: 3/15/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
OK TO ISSUE SEWER PERMITS PER BILLY 5/17/95 CKF
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50
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 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: 3/15/2002