HomeMy WebLinkAbout2618 A & B Orchard Ave - Building
TI~E OF WORK:
~esidential ~w Constr. D Re-roof 0 Stove "4
o Multi-family D Addition D MoveD Garage
o Commercial D Remodel D Demolition 0 Deck
D Repair D Sign 0 Other
BlUEF DESCRIPTION OF nm PROJECT:
BUILDING PERMIT. APPLICATION J,
Fill out COM!'LETELY and ill INK. Your application and site plan MUST Btv
COMPLETE to be accepted for review. If you bave any questions, caD U,
PER1\1ITS (360) 417-4815 F p..x(360)417-4711
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Phone:
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SIZE/VALUATION:
~ SF.@$7.J.. 1(.. /SF.=$
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 310, LfC( "f
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COMMERCIAL/RESIDENTlAL: Occupancy
No.ofStories::::L Lot Size: 30bDO
Total lot coverage 2.. ~ S' %
& Proposed Sq. Ft.
Construction Type: V\ rdie.d
= TOTAL Sq. Ft.~~ I ~
PLANNlNG USE ONLY:
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APPROVALS:
PLAN:
BLDG:
DPWV:
FIRE:
OTHER:
ESAlWetiand(s): 0 Yes 0 0 SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF C NSTRUCTION: In aU cases, a valuation amount must be entered by the applicant.
This figure will be r iewed and may be revised by the Building Division to comply with current fee schedules. Contact tile Permit
Coordinator at 411 4815 for assistance.
PLAN CREC EE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. Al ther permit fees are due at the time of permit issuance.
EXPIRATI OF PLAN REVIEW: If no permit is issued within 180 days oftbe date of application, tbe application will expire. The
Building 0 lcial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 f the International BuildinglResidential Code, 2003). No application can be extended more than once.
I her; y certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BJdgPerrnitfonn.wpd APplican~~ Dater / -;;'l!)/O '=>
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APPLICATION NUMBER: 06-00001074 2618 ORCHARD AVE A
FEE DESCRIPTION AMOUNT DUE
,
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MILW DRIVE ASSESSMENT
BUILDING PERMIT - RESIDENTIAL
MECHANICAL PERMIT
PLUMBING PERMIT
SANITARY SEWER HOOK UP
PUBLIC WORKS RES WATER SERV
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
TOTAL DUE
960.00
2235.45
215.40
320.00
134.00
700.00
3480.00
12.00
4800.00
12856.85
Please present this receipt to the cashier with full payment.