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2002, 06-27 Permit App 02005323 DeckProject Number: 02005323 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REPLACE DECK Contact: BENDOCCHI, ROBERT E. Address: 17704 E BROADWAY AVE C - S - Z: GREENACRES, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 926-3018 Group Name: Site Information: Project Name: Plat Key: 000500 Name: CORBIN ADD TO GREENACRES Parcel Number: 55183.0106 Block: Lot: Date: 6/27/02 Page 1 of 2 District: G SiteAddress: 17704 E BROADWAY AVE Owner: Name: BENDOCCHI, ROBERT E. GREENACRES, WA 99016 Address: 17704 E BROADWAY AVE Location:: GRE GREENACRES, WA 99016 Zoning: UR 3.5 Water District: Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Nan Review Plan Review Septic System Review Permits: Hold: ❑ Released By: Released By Released By: col JA1� z?AZ-- AL itifL/c Operator: CKF Printed By: CKF Print Date: 6/27/02 Project Number: 02005323 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Building Permit Firm: OWNER Phone: Building Characteristics Date: 6/21/02 Page 2 of 2 Const Category: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: 192 Sprinklers: Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Su Ft Valuation Sq Ft Valuation DECK R-3 VN 192 S1,50336 192 $1,503.36 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Totals: 192 51,503.36 192 $1,503.36 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Fee Amount $52.25 $4.50 $11.50 Permit Total Fees: $68.25 Fee Amount Invoice Amount Amount Paid Amount Owing $68.25 5668.25 $0.00 $68.25 $68.25 $68.25 $0.00 $68.25 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: CKF Printed By: CKF Print Date: 6/27/02