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2003, 01-02 Permit App: 03000015 Remodel Project Number: 03000015 Inv: 1 Application Date: 1/2/2003 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ( LC P-021Y, Permit Use: CONVERT GARAGE TO LIVING SPACE (SOME Contact: ANDERSON,VICTOR R WORK COMPLETED IN 1996) Address: 11321 E 32ND AVE C- S -Z: SPOKANE,WA 99206 Setbacks: Front EXI Left: EX Right: EX Rear: EX Phone: (509)928-5853 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 45283.5610 Block: Lot: SiteAddress: 11321 E 32ND AVE Owner: Name: ANDERSON,VICTOR R SPOKANE,WA 99206 Address: 11321 E 32ND AVE Location:: SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: ,000.00 Acres Width: 103 Depth: 165 Right Of Way(ft): 60 Nbr of Bldgs: 3 Nbr of Dwellings: 1 Review Information: Review Plan Review Released By: t4 L .A.1 (r Permits: .. Operator: CKF Printed By: CKF Print Date: 1/2/2003 Project Number: 03000015 Inv: 1 Application Date: 1/2/2003 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 Phone: Building Characteristics Const Category: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: El 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 $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 Notes .. ... .. WORK COMPLETED PRIOR TO ISSUANCE OF THIS PERMIT MUST MEET ALL CONDITIONS OF FIELD INSPECTION. Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $81.67 $81.67 $0.00 $81.67 $81.67 $81.67 $0.00 $81.67 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: CKF Printed By: CKF Print Date: 1/2/2003