2001, 12-10 Permit App: 01010726 Remodel Project Number: 01010726 Inv: 1 Ap lcation Date: 12/10/2001 Page 1 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT-BEDROOM& Contact: BOLT,TY
PLAYROOM/STORAGE Address: 15226 E. 18TH CT
C-S-Z: VERADALE,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)928-0350
Group Name:
Site Information: Project Name:
.......................................................................................................................................................................... . .
Plat Key: 005950 Name: SPRINGFIELD ADDITION @ AUTUMN CREST District: F
Parcel Number: 45261.5610 Block: Lot:
SiteAddress: 15226 E 18TH CT Owner:Name: BOLT,TY
VERADALE,WA USA 99037 Address: 15226 E. 18TH CT
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 11,517 Sq Ft Width: 90 Depth: 108 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review n r a '
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Review
Plan ReviewReleased'By 101' '0(
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Operator: RMB Printed By: RMB Print Date: 12/10/2001
Project Number: 01010726 Inv: 1 Apifeation Date: 12/10/2001 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN 500 $2,100.00 500 $2,100.00
Totals: 500 $2,100.00 500 $2,100.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $75.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61
Permit Total Fees: $96.61
N
TEST NOTES JDW
Pa ment umma
S
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61
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: RMB Printed By: RMB Print Date: 12/10/2001