1985, 05-29 Permit: 00005651 ResideSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
JOB ADDRESS:
11905 E BUCKEYE AV
OWNER:
JOHN R ERICKSON
ADDRESS:
11905 E BUCKEYE AV
CITY: 5T: ZIP:
SPOKANE WA 992060000
APPLICANT:
MC VAY BROS CONTR INC
CONTRACTOR:
MCVAY BROS CONTRACTING
ADDRESS:
3106 N ARGONNE RD
CITY: ST: ZIP:
SPOKANE WA 99212-0000
PN: . LICENSE*:
509928-4686 MCVAYBC346ME
ARCR/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
095411115
CENSUS TR:
0999
INSPECTOR:
PLAT*:
000264
LOT AC BLOCK
n15 011
FINAL
PLAT NAME:
MIRABEAU RANCH ADD
ZONE*:
AGM
ZONE
AGSUB
FSB
000
S-1
000
5-2
000
RSB
000
MOD
PLANS EXAM:
USE OF PERMIT:
ninon RESIDE RESIDENCE
JOB ADDR05ESS:
119 E BUCKEYE AV
5Eq. *:
nn6n28
DATE:
05/29/85
PROJOC:
0005651
structure Fee $54.00
1
FEES:
$54.00
PAID BY:
CA
CK
X
CG
NC
COUNTER AP
�
PLANS EXAM:
DATE:
05/29/85
STRUCTURE PERMIT
STRUCTURE
Description R Dwell Group R-3 Type VN
Square feet 003065 Qccupancy Load 0000
Est Plan Chk $0.00 Actual Pin Chk $0.00 Var $0,00
TOTAL FEES $54.00
05-29-85
253.72 *540f',
OFFICE COPY