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2000, 05-09 Permit App: 00003620 Repair Fire Damage Project Number: 00003620 Inv: 1 Application Date: 05/09/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPAIR FIRE DAMAGE TO WALL AND CEILING Contact: DAHLBERT,MARY K/STUT,SANDRA Address: 16322 E VALLEYWAY AVE C-S-Z: VERADALE,WA 99037-9567 Setbacks:Front Left: Right: Rear: Phone: (509)924-4388 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 45134.1246 Block: Lot: SiteAddress: 16322 E VALLEYWAY AVE Owner:Name: DAHLBERT,MARY K/STUT,S VERADALE,WA USA 9903 Address: 16322 E VALLEYWAY AVE Location::VER VERADALE,WA 99037-9567 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department Review BUILDING •eci.. Inspections i, 1 i Hold Reasons: /4/. GG r / rj6_ _ Permit Conditions: b-7 2, X61412- - Project Number: 00003620 Inv: 1 Application Date: 05/09/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit - - Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: Remodel Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN DAMAGE 0 $900.00 0 $900.00 REPAIR Totals: 0 $900.00 0 $900.00 Item Description Units 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 Operator: DMD Printed By: DMD Print Date: 05/09/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.20 $47.20 $47.20 $0.00 $47.20 $47.20 $47.20 $0.00 . 441 1 PROJECT APPLICATION ik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE lin SPOKANE,WA 99260 SPOxN COUNTY 509-477-3675 • Project Description: Fir -P .aC1 . r Yp i r TYPE OF APPLICATION 6$uilding Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign 0 Tenant (New/Change) O Other SPECIFIC SITE INFORMATION q?„1(-) Street Address: f ! ` Assessor's Tax Parcel Number(s): Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front:_, Rear: School District; Fire District: Zoning' Left: Right: OWNER/APPLICANT INFORMATION Ell Indicate who should be contacted regarding this project canter� t7)_ : I/ Phone: l 3Cho ❑Applicant: Phone: / a I Y Dab lb-f- Fax: Fax: Mailin Address: Mailing Address: 1 r 7 2 2 E nth livI' City,State,Zip City,State,Zip t., ran P W' ' T2/4 ii Contractor Phone ii Architect/Engineer Phone Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft. Occupancy group Construction/goo type Garage sq.ft. Deck sq.ft. Cost of project d- Heat source(electric,gas,etc.)