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2011, 04-19 Permit App: 11000981 Repair Water Damage Project Number: 11000981 Inv: 1 Application Date: 4/19/2011 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPAIR WATER DAMAGED DRYWALL& Contact: A-1 GENERAL CONTRACTORS INSULATION Address: 6410 N MONROE C-S-Z: SPOKANE WA 99208 Setbacks:Front Left: Right: Rear: Phone: (509)328-3054 Group Name: Site Information: Project Name: Plat Key: 001854 Name: OPPORTUNITY PLAT#03 District: Nort Parcel Number: 45171.0607 Block: Lot: SiteAddress: 1424 N WOODRUFF RD Owner:Name: ODELL,PHYLLIS J Address: 1424 N WOODRUFF RD Location::CSV Spokane Vly,WA 99206-3904 Zoning: R-3 SF Res District Water District: Hold: ❑ Area: 15,439 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Building Plan Review Released By: Permits: Building Permit Contractor: A-1 GENERAL CONTRACTORS Firm: A-1 GENERAL CONTRACTORS IN Address: 6410 N MONROE ST Phone: (509)328-3054 SPOKANE,WA 99208 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB WATER 0 $5,000.00 0 $5,000.00 DAMAGE Totals: 0 $5,000.00 0 $5,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $111.25 WSBCC SURCHARGE 1 SELECT $4.50 SF PLNS RVW<7999 SQ FT 1 SELECT $44.50 Permit Total Fees: $160.25 Operator: JD Printed By: JD Print Date: 4/19/2011 Project Number: 11000981 Inv: 1 Application Date: 4/19/2011 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes ._ � Payment Summary: M _ H11 : = ,4rN. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $160.25 $160.25 $0.00 $160.25 $160.25 $160.25 $0.00 $160.25 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: JD Printed By: JD Print Date: 4/19/2011