20070058 Permit 022307~4~ ~~~
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iicarat:
hlara7e: rainier fax
c~rnunity evele~r .rat l3eartrnt
ill 17iuiira
Phcanea (364} 458-8447
Fa:(64}458-3144
=neral t~euelczprent
Address: P.C?, t3ax 627 City: rain'ser
i'C1~3~ l11~ ;~tlra:
Site Address: 12545 osran Aue. ~
Assessor Parcel Flo. 21724444144 Subdivision:
trtcar lnfcs tln.
Dame; Ag~piicant Contact:
Address: City:
Contractor License h!®; Expires;
Perrnit (Vm: - - 5 -
Issue Date: 2f23f2407
{ihlork must be started within 184 days}
receipt t~~ca: 4746
Phone: 446-3483
State: A Zip 9$576
Phone:
Lot:
Mate: Zip;
Puniness License:
Garage 4 basement 4
Item Fee ~aSe Amt unit Fee unit rate I~lo. l~nit3 Unit C~e$G
3,495.00 0.00 O.OQ 4.0000 0.0000 $1,000
2,271.7x c.4o O.QO o.oQ00 O.oooO
79.5Q O.Qa O.OQ o.QOQO O.OOOo
223.00 20.00 203.04 7.0000 29.0000 Fixture
22,900.00 0.00 22,900.00 x,725.0000 4.oaoo Ertl
xa~.Q4 0.4x0 58.00 1a5.oaoo 4.aoo0 ~rl.~
6,000.00 0.00 6,o00.OQ 1,xoo.ooOQ 4.0040 ~ru
360.00 90.00 0.00 O.oOOQ Q.OaOQ
799.20 0.00 799.2Q 0.2164? 3,700.0000 square foot
4.50 4.x0 O.OQ 0.0000 0.0000
$36,712.95
~!lt' Affdav~t:
I testify that I have read and examined the information contained within the application and know the same
to be true and Garrett. I else certify that the proposed straacture is 6n conformity with ali applicable City of
Yelrn regulations including #hose governing zcarain~ and land subdlvisaon, and en addi@ion, all covenants,
easements and restrictians of record. If applying as a contractor, I father certify that I am currently
registered in the State of 1Nashington.
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Signature 'i"" ~ ,am~y ~ '",~^I , ~.~".~ -~, Cate ~'` - °. f ~ <°,
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Sets of Prints:
Fine! tnsp~ection.
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Cate: $ ~'~"
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