Foundation PErmits
F'errrWit ~e~: -
Issue Date: ~itl'~cf"`" ~ ~ `~
~ ~"` ~
(1Nork must tae started within 1~$0 days}
Receipt Nc~:
~plianfi:
!Name: atnter General euelopcnent Phone: 446-3083
address: P.CD. Box 627 City: Rainier ;state: tPVA Zip 98576
f~roerty Inforattcrw
Site address: 9144 Burnett I?cad"
assessor Parcel No. 21713340601 Subdivision: ~Bla Lot:
contractor Information:
Dame: F2alnier General development Contact: Blume, C~oug Phone: 446-3083
address: F'.. Box 627 City: Balmer hate: a Zip: 9857'6
Contractor License No: RaIRlIG1~115{lL Expires: 01!011071 Business License:
project information:
Project: Burnett Road phase Il,
Description of t~Vork: No fee foundation permit for Building B
Sq. Ft. per floor: (1st) 4450 (2nd) 4450 (3rd) 0 Garage 0 Basement 0
0-leat hype (Electric, Gas, C?ther): GaS
Item
Building Permit - Qther
G°fkRL FEES:
applicant"a Affadit.
Item Fee Base amt Unit Fee Unit Rate No. Units Unit Desc
___-_Q.QO -0.4® ___-_0.04 0.0000 O.OQ04 $1,®(?®
X0.00
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conforrraity with all applicable City of
!'elm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applylnc~ as a contractor, ! father oertify that ! am currently
registered in the State of Washington. ~°
Signature °° ,,_..~ Date
--- ~ ..
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,1. °°~~~~._.
Firm ~,~
C}FFICIaL USE ONLY
# Sets of Prints:
Finat Inspection:
Date:
By:
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~.~ Corrsrunity evelo~trnent ~ePertrnent
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Building Cti~tisic~n
Phone: {360j 45~-8407
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blame: rainier General eVelopcTaent
Address: ~.. Box 627 City: rainier
Faroe _ Ifortaa:
Site Address; 9144 Burnett Road, A
Assessor Parcel fro. 21713340641
ot~tractor lfrtion;
dame: Rainier General i3evelops~ent
Address: P.C?. Box 627
Contractor License o: R~AIP+JIGD115G~,
Subdivision: I+tfA
Contact: Blume, Doug
City: Rainier
Expires: 41f41f471
Project Inforrx~ation:
Pro~ecrt: Burnett Road phase Ile
Description of 1Nork: loo fee foundation permit for Building A
Sq. Ft. per floor: (1st) 54 (2nd} 4454 (3rd) 4
Heat Type (Electric, Gas, Other}: GAS
~'errrait RI®: -
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lssa~e Date: _ ~ ~~;
{Vr~,~a~st~ ~ ` ~ allays}
receipt ®:
Garage 4
Fese
Item Item Fee Base Amt Unit. Fee Llnit Rate
Building Permit - CDther Q.£l0 Q.t}tl Q.C}(l f3.04Q0
"rC3'rL FEES: $4.40
,~piiat' Affidavit:
Phone: 446-3083
State: VatA Zip 98576
Lot:
Phone: 4.46-3483
State: A Zip: 98576
Business License:
Basement 4
No. Units Unit Desc
___________ _____________
l).40QQ b1,40Q
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conforrraity with all applicable City of
~elrn regulations including those governing zoning and land subdivision, and in addition, ail covenants,
easements and restrictions of record. if applying as a contractor, I father certify that I errs ccarrently
registered in the State of iNashington
.. m m
s ~;...,.
Signature ~ ~ ~.~;„~ ~ °~~^° ~ 3.~ a..~..m„~, Date
Firma
Sets of Prints:
Final Inspectian:
Date:
By: