2001, 11-21 Permit App 01010325 Fire Damage RepairProject Number: 01010325 Inv: I Application Date: 11/21/01 Page 1 of 2
THIS IS NOT A HERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: FIRE DAMAGE REPAIR (GARAGE & HOUSE Contact: BELFOR CONSTRUCTION
TRUSSES) Address: 10020 E. KNOX, SUITE 100
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 002078 Name: PONDEROSA ADD
Parcel Number: 45324.0123 Block:
SiteAddress: 4042 S CONIFER CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: I Nbr of Dwellings: 1
Review Information:
Review
Plan Re
Permits:
C - S - Z: SPOKANE, WA 99206
Phone: (509) 893-0001
Group Name:
Project Name:
District: F
Lot:
Owner: Name: HEATON, MICHAEL
Address: 4042 S CONIFER CT
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 50
1 Released By: C t-
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Operator: CKF Printed By: Print Date:
a.Adl, 11,E
Project Number: 01010325 Inv: 1 Application Date: 11/21/01 Page 2 of 2
THIS ISNOT A PERMIT
Penalties will be assessed for commencing work without a permit
--- - - - -- - - - — - Building Permit
Contractor: BELFOR CONSTRUCTION Firm: BELFOR CONSTRUCTION
Address: 10020 E. KNOX SUITE 100 Phone: (509) 893-0001
SPOKANE, WA 99206
Building Characteristics
Const Category: Remodel Group:
R-3 Type: VN
Nbr Of Dwellings: Occupant Load:
Building Height:
Stories:
Bldg W x D: x Building Sq Ft:
Sprinklers: ❑
Req Parking: Handicap Parking:
Critical Materials: El
This Application:
Total Project:
Description Gro Tvoe Notes
So Ft Valuation
Sri Ft Valuation
RESIDENCE R-3 VN FIRE
0 $35,720.00
0 $35,720.00
DAMAGE
REPAIR
Totals:
0 $35,720.00
0 $35,720.00
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION I
Y OR BLANK
$451.00
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$99.22
Permit Total Fees:
$554.72
Notes:
Payment Summary: --
Permit Type Fee Amount Invoice Amount Amount
Paid Amount Owine
Building Permit $554.71
$554.71
$0.00 $554.71
$554.71
$554.71
$0.00 $554.71
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 orof any giber state or local laws or ordiwafices.
>
Signature: >/
— G
Operator: CKF Printed By: Print Date: