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1986, 05-16 Permit: 00011019 ResidenceSIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS STRUCTURAL. Building Code Fee •1:::netrgy Studies Surcharge BUILDING V Slue ta.on; Curr 41 632 PROJECT SEO- S: DATE: 05/16/86 OWNER: BUT, , $362.5G ADDRESS: AV .ner+,1y Studies Surcharge "k15.06 CITY: ST: ZIP: WA APPLICANT: CONTRACTOR: ADDRESS: AV CITY: ST: ZIP: PH: LICENSES: UPPF:IR1791)'. ARCH/ENGINEER: ADDRESS: PAID BY: CITY: ST: ZIP: CK CG NC PARCEL.: CENSUS TR: INSPECTOR: PLAT.: LOT & BLOCK FINAL PLAT NAME: ' 1 E L D ZONE.: ZONE FSB 0 is 5 - 1 S - 2 RSB 0 0 0 MOD F. USE OF PERMIT: JOB ADDRESS: L. BROAD AV STRUCTURAL. Building Code Fee •1:::netrgy Studies Surcharge BUILDING V Slue ta.on; Curr 41 632 PROJECT SEO- S: DATE: 05/16/86 00011019 BUT, , $362.5G ncj Code Fere* $1-50 .ner+,1y Studies Surcharge "k15.06 FEES: $379.00 PAID BY: CA CK CG NC COUNTER APP: 1f r1< < i PLANS EXAM: !" 1i• DATE: • * of Floors 01 * of Bedrooms 000 * of Rooms 000 I• R.MARY STRUCTURE: i)e~sc: DWELLING Group: R-3 Type: : VN ;3q --Ft 996 Occupancy Load Irate 32.00 ' EC,ONDARY STRUCTURES: De c: DWEL_L_INCUB Group: R-3 Type• Load 6.00 Tiesst::: GARAGE Group: M-1 Type: VN Sq -Ft 484 Occupancy Load Rate 8.00 T esc: DECK Group: R-3 Type: VN (71 -Ft 100 Occupancy Load Rate 2.00 c)6 7,1/ INCPPf'Tfw'c rr1DV 1(JTAL FEE TOTAi.. FEE TOTAL FEE Permit Fee $1 .50 $'15.00 $362.50 362.50 0 INSP-ID • gra ti 11111111111M MN 1111111MMINIMIN NM KINIE FAMMENNIEMNIMINOMMINIIIIIIIIIIM NM 111 NM IIINININ =I INNIMININN MI 1111111mii MIN MI 1:61111111111111111111EIMUlir MN 11111111111111 ME INIMMINEIN 1111 rimM EIMMIMMININImmime=111 EMI= ==11111111111111111 1111111111111 E61111111MINNIMINIM WWWW11111111 ribmillialleilliMill J 2 LL H U W O ja