2002, 11-20 Permit App: 02010403 RemodelProject Number: 02010403 Inv:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/20/2002 Page 1 of 2
Project Information:
Permit Use: REPLACE WATER DAMAGED INSULATION &
SHEETROCK IN BASEMENT
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Ke 001834 Name: OPP.TR 1-354
• : : r. : : :
Contact: RESCUE RESTORATION INC.
Address: 727 N HOGAN ST
C - S - Z: SPOKANE, WA. 99202
Phone: (509) 536-7779
Group Name:
Project Name:
District: F
Parcel Number: 45222.0653
Block: Lot:
SiteAddress: 12625 E 4TH AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -22 Urban Residential -22
Water District: Hold: El
Area: 43,200 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Owner: Name: LOPP, 0 C
Address: 12625 E 4TH AVE
SPOKANE, WA 99216-0707
Review
Plan R: *ew
$
A
Operator: RMB Printed By: RMB Print Date: 11/20/2002
Project Number: 02010403 Inv: 1
a v
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/20/2002 Page 2 of 2
Contractor: RESCUE RESTORATION
Address: 727 N HOGAN ST
SPOKANE, WA 99204
Building Permit
Firm: RESCUE RESTORATION INC
Phone: (509) 536-7779
Building Characteristics
Const Category: Remodel Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Type Notes
RESIDENCE R-3 VN REPAIR
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height: Stories:
Sprinlders: 11
Critical Materials: ❑
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
0 $5,300.00 0 $5,300.00
Totals: 0 $5,300.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
0 $5,300.00
Fee Amount
$113.00
$4.50
$24.86
$142.36
THIS PERMIT IS TO REPAIR WATER DAMAGE ONLY. NO OTHER CHANGES ARE
ALLOWED WITHOUT ADDITIONAL PERMITS AND REVIEW
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$142.36 $142.36 $0.00 $142.36
$142.36 $142.36 $0.00 $142.36
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 he
complied with. Subsequent issuance of a permit shall not he 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: RMB Printed By: RMB Print Date: 11/20/2002