1985, 10-11 Permit: 00008007 InsertSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
1 DATE;
1.0/11/811-5
9812 E CIR 0,13 S IR 0 W
CT
OWNER:
I-JANFORD, ANNY L
'ADDRESS:
9812 E CROSS)DOW
c"T,
CITY: ST:
S' I! 10 K A N E-' WA
I
zl-
99206
APPLICANT:
VALA E Y F- 1. IR E 1:1L A C E.
CONTRACTOR:
VALI EY Fl R 1:-:'I:l I ACE
ADDRESS:
1:1 to BOX 553
AV
CITY: ST:
V 1:." R A D A L E. WA
zip:
99037
P.:
0 9....9 22-2780
LICENSE*:
VALl E F -x. 17 7 C,
ARCH/ENGINEER:
1 PAID BY:
ADDRESS:
CK
CITY: sv:
zip:
COUNTER AP
414,
IPLANS EXAM:
PARCEL*:
205431209
CENSUS TR:
logg
D'[S'TR,*I'Bt.YTJ'tJN:
INSPECTOR:
PLAT*:
00099100
LOT & BLOCK
009
002
FINAL
PLAT NAME:
S I -I E R W C) C) 1) FOREST (WI-111,33PERING PINES)
ZONES:
ZONEIFSB
131 R
00
IS
0
S-2
000
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000
1-01
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TN S E IRT
USE OF PERMIT:
CL
JJOBADDRESS:
9812 E - CROSSBOW
cl,
SEQ. YF:
00 08823
1 DATE;
1.0/11/811-5
jlROJ*l
00008007
M E CI -I A Nil C A 1 $20 .00
:
E .: M 'HANICAL PERMIT
M
I* T A L F1:::1::'
$201.00
P fl. L : 1) r V, 0
lRan'ge 0 Gas I o G a iii
FEES: $20 ..00
1 PAID BY:
ICA
CK
CG
NC
COUNTER AP
414,
IPLANS EXAM:
DATE:
f
:
E .: M 'HANICAL PERMIT
M
I* T A L F1:::1::'
$201.00
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