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2002, 02-25 Permit App: 02001135 Remodel Project Number: 02001135 Inv: 1 Appl;icalion Date: 2/25/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: INTERIOR PLBG WALL Contact: WOLTHER,JASON A REPLACEMENT,WINDOW Address: 1404 N VISTA RD REPLACEMENT,SHEETRCK REPLCMN C S Z: SPOKANE,WA 99212 Setbacks:Front Left: Right: Rear: Phone: (509)263-6712 Group Name: Site Information: Project Name: Plat Key: 001623 Name: MICHENER'S REPLAT District: F Parcel Number: 45181.0638 Block: Lot: SiteAddress: 1404 N VISTA RD Owner: Name: WOLTHER,JASON A SPOKANE,WA USA 99212 Address: 1404 N VISTA RD Location::SPO SPOKANE,WA 99212 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 8,012 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Permits: 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 REMODEL 0 $900.00 0 $900.00 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: JAS Printed By: JAS Print Date: 2/25/02 Project Number: 02001135 Inv: 1Application Date: 2/25/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $5.00 Permit Total Fees: $35.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.20 $47.20 $0.00 $47.20 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $82.20 $82.20 $0.00 $82.20 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: JAS Printed By: JAS Print Date: 2/25/02