1986, 05-29 Permit: 00011286 Duplex ■
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SIGNATURE OF - APPLICATION
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| OVVNERURAGENT ��'w:u) DATE -. °— — �^�
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JOB ADDRESS PROJECT#
' o808 E AUGUSTA AV 1701:2490 "^=05/29 ' 0001
°== / HEQCEM BUILDING $554 . 00
rilY' E 25TH AV Building Code Fee $1 . 50
WO'OKANE "`'WA ""99206 Fne: .v, .. . "Jies Sorchar9e $15 . 00
^'���(�`' HEGCEM
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»p27IT:"'HECCEM
="""="~ E 25TH AV
| �~' KANE "`'WA ``"'99206
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9-924-7751
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PARCELS: 1 6 0 4 """" �=' INSPECTOR:
.
��=1 LOT'�Y|5C" FINAL
"" 09200 ""` 001
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ON RIDGE
`"°"~' 71r7L '1Sh0 "1.0! 8 "O b0 "8o0 °" F
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' 01+002 DUPLEX ^ ' :i- ' :
/ USE OF """='`' ~"""' $570 . b0 PAID BY: CA = CG NC
COUNTER ^"/ PLANS "^°" DATE:'11M0 " AUCUSTA AV
, CO
STRUCTURAL
Building Code Fee TOTAL FEE $1 . 50
Energy Studies Surcharge TOTAL FEE $15 . 00
BUILDING TOTAL FEE $554 . 00
Valuation : Corr 80960
Permit Fee 554 . 00
# of Floors 01 # of Bedrooms 000 # of Rooms 000
PRIMARY STRUCTURE :
Desc ; DWELLING Group : . R-3 Type ; VN
Sg-Ft 2376 Occo�ancy Load Rate 32 . 00
SE�ONDARY GTRUCTUR�S �
Desc ; GARAGE Group : M-1 Type : VN
Sq-Ft 616 Occupancy Load Rate 8 . 00
O �- 7V —�� 77 � � � � � 70� 8 �
I OFFICE COPY
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SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS _
.-fu SEq. YC: DATE:
OWNER:
tJ J i D.11\46
ADDRESS:
:u:4 ,i ci:4, F 1:.
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSES:
ARCH/ENGINEER:
ADDRESS:
VII CITY: ST: ZIP:
PARCELS: CENSUS TR: INSPECTOR:
PLATS: LOT 8, BLOCK FINAL
PLAT NAME:
ZONES: ZONE FSB S- 1 S-2 RSB MOD
USE OF PERMIT:
FEES: PAID BY: CA CK CG NC
Ir:371J
JOB ADDRESS. ) COUNTER APP: PLANS EXAM: DATE:
:w; 1 1-t.#L 4 t.J R(i l._
l:.dinr Code Fee a TOTAL FEE $1
Studi.es Surcharge TClT'AL.. FEE $15 ,1,t,
i_1E5INt; TOT'Ai_. FEE $'554
ra:lta�ti.an ; Curr 130960
Permit Fee 54 . 01
- of Floor., 01 of Bedrooms 000 1 of Rooms 000
1tiARY STRUCTURE !
c1-zc: ; XaWE~i..L 1:Nt, Group ; R-3 2476 Ccca� rcy Load Rate
I CONDAFY STRlCTttb ; Vti
,e :L ; GARAGE Group :; f-1 Type ; VN
t:i F°t 616 Occupancy Load ?atr ft . 00
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INSPECTOR'S COPY
INSP-ID r,tp Re, 1160 pek
DATE (O A-gip 71j$G Il/ /0/27
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DEPARTMENTAL REVIEW
Cond.
Approved Hold
Approval
Environmental Health Application#
W. 1101 College
Room 200 5
Planning/Zoning
❑ N. 721 Jefferson
,( Engineers
Fl N.811 Jefferson
Utilities
El N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson l2Ca
Other(SEPA/Critical Material/etc.)
❑ Fast Track/Special Inspection Information
Project Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signature Z/Z-C-4-/ Date
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