1986, 04-16 Permit: 00010513 Fire Damage RepairSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
-
682"; E AUGUSTA AV
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BUILDINC $162.
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5�5
^,OKANE WA 99212
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PARCEL.: 1436
CENSUS T '
0999
INSPECTOR:
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014 036
FINAL
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STRUCTURAL
Building Code Fee
BUILDING
PRIMARY STRUCTURE:
SECONDARY STRUCTURES:
APPLICATION
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0011626
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BUILDINC $162.
Building Code Fee $1.50
~"""' $�63.5O
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COUNTER APP: I
PLANS EXAM:
DATE:
TOTAL FEE
TOTAL FEE
Permit Fee
$1.50
$162.00
162.00
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OFFICE COPY
SIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
STRUCTURAL
Building Code F e er
l::tU:l:L.DING
PRIMARY STRUCTURE::
SECONDARY STRUCTURES:
APPLICATION
DATE
PROJECT#
FEES:
PAID BY:
G
COUNTER APP:
PLANS EXAM:
DATE:
(7
INSPECTOR'S COPY
TOTAL. FEE::
T't:lTAi_. FEE
F'er m t F:i!r
( /i ;? . n fi
OWNER:
ADDRESS:
CITY: 5T: ZIP:
APPLICANT: DE
CONTRACTOR:
ADDRESS:
CITY: 11].. ST: j ZIP:{. t.._;.?. 0
1': ' .483µ`6474 iLICENSE4! 'B1. ..,
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ARCH /ENGINEER:
ADDRESS:
CITY: 5T: ZIP:
PARCELS: CENSUS TR:
INSPECTOR:
PLATS: I �, ,` t) 0
LOT & BLOCK
FINAL
PLAT NAME':'2T
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ZONES: IZONE
1
ES E
5 -1
l �
S i 2
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RSS
MOO
DAMAGE a ....P SIR
USE OF PERMIT:
JOB ADDRESS:
f"it 6U1:3 TA A AV
STRUCTURAL
Building Code F e er
l::tU:l:L.DING
PRIMARY STRUCTURE::
SECONDARY STRUCTURES:
APPLICATION
DATE
PROJECT#
FEES:
PAID BY:
G
COUNTER APP:
PLANS EXAM:
DATE:
(7
INSPECTOR'S COPY
TOTAL. FEE::
T't:lTAi_. FEE
F'er m t F:i!r
( /i ;? . n fi
INSP —ID — I ,..,r.
DATE �'U\ f;
C7
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PROJECT FINAL