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1986, 05-16 Permit: 00011017 Residence
SIGNATURE OF OWNER OR AGENT DATE APPLICATION JOB ADDRESS PROJECT 5E0. *: DATE: OWNER: ADDRESS: I ? (^t v ler'(L1 k:e:+r -hrar; CITY: ST: ZIP: H',4141:::. WA 99216 APPLICANT: CONTRACTOR: I N C ADDRESS: t:fPRF 7C ';stl' AV CITY: ST: ZIP: 7 WA tar �`T 2.6 pH: LICENSE*: TUPPrIR 179D(:: ARCM/ENGINEER: ADDRESS: PAID BY: CITY: ST: ZIP: CK .. CG NC PARCEL.: CENSUS TR: INSPECTOR: PLAT.: La'06B00 LOT & BLOCK u:0; trio FINAL PLAT NAME: rr+1ERFI.FLI) EAST 2ND ADS, ZONE.: ZONE FSB 5-1 e00 5-2 RSB 000 MOD f.. USE OF PERMIT: JOB ADDRESS: .!'';'07 F BROAD A PROJECT 5E0. *: DATE: J.l .I.i.t.l i)1. .. ler'(L1 k:e:+r -hrar; FEES: //II $4;24 PAID BY: CA CK .. CG NC COUNTER APP: PLANS EXAM: DATE: STRUC':TURAL. Building Code Fee Energy Studies Surcharge BUILDING Valuation: Curr 48376 iI of Floors 01 1k of Bedrooms 000 11, of Rooms 000 'PRIMARY STRUCTURE: Xie=;c: ; DWELLING Group; R-3 Type: VN ::3q_•rt 1,x':`58 Occupancy any oa(1 Rat 32. 00 • SECONDARY STRUCTURES: 1)ecsc:: DWI"::LL.INGUB Group: R-3 Type: VN �:3cl....F: t 752 Occupancy ..a<ad Rate 6.00 i)e<.:>c:: GARAGE Group: M-1 Type: VN Sq—Ft 451 Occupancy Load Rate 8.00 \/ 11 • INSPFCYMR's CY)PY TOTAL F 'EF. TOTAL FEE TOTAL FEE Permit Fee 408,00 !1 (O? 0,,R5 INSP-ID pe, /Zc2, jud DATE 9 9/S /o/(, 1i -(0 (/ 'i X - �- 4 714— 1 is