1999, 03-15 Permit App: 99001932 Repair Fire Damage Project Number: 99001932 Inv: 1 Application Date: 3/15/99 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
ProjectInformation: .�r.,. ....:..n.:..�n.....,..........x. .�h .,.,,�.....,v..,v.. .:. K.u....,.. H...�.,:z.:. .m:hN.�.x. NNh
Permit Use: FIRE DAMAGE REPAIR Contact: CAPSTONE CONSTRUCTION
Address: PO BOX 388
Setbacks:Front Left: Right: Rear: C-S-Z NINE MILE FALLS,WA 9902
Phone: (509)981-1718
Site Information: ,:..:.......:.:....:.:.::.�,. . ... :.•• .::>>}.k�:m;
Plat Key: 001451 Name: LEMEN AIRPARK ADD District: F
Parcel Number: 45262.0722
SiteAddress: 14219 E 17TH AVE Owner:Name: BOOTH,CURTIS W
VERADALE,WA 99037 Address: 14219 E 17TH AVE
Location::VER VERADALE,WA 99037
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 100 Depth: 125 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information
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Department Review
BUILDING Plan Review r.e__I d_do L ■ .� � SS t.te-
Comments: IN rO NF. s
Building Permit
Contractor: CAPSTONE CONSTRUCTION Firm: CAPSTONE CONSTRUCTION
Address: PO BOX 388 Phone: (509)326-0908
NINE MILE FALLS,WA 99026
Building Characteristics
Const Category: Remodel
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 Gtr Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $2,000.00 0 $2,000.00
Totals: 0 $2,000.00 0 $2,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $63.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $13.92
Permit Total Fees: $81.67
Project Number: 99001932 Inv: 1 Application Date: 3/15/99 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commenting work without a permit
PaymentSummary: :{4~;<040 :o0wsx 403#4/oN ,+sW.•:•...••__• ..•..•..,.,.,,<,::...,,•:.,,z,,,-•:.....,,,:._.:.:__:.,,.,.,.,,,.. •, :•..<....•.,.. ..., .,.,•,..,...., 'Wetk*SMsass W
Operator: CKF Printed By: DMKC Print Date: 3/15/99
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $81.67 $81.67 $81.67 $0.00
$81.67 $81.67 $81.67 $0.00
Notes. ir{{IXti{tititi4 8 ti;titiryW i$<\tiQ''<1 }y��titi�{{ti"O4h' i$4 x{_0000 R.C_w C'G '
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