1986, 03-10 Permit: 00009873 ResidenceG NATUREOF
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RESS
5223 N EVERGREEN
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CROSDY, ENTERPRISES
INC
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5223 N EVERCREEN
RD
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SPOKANE WA
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99216
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CROSBY/ ENTERPRISES
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CROSBY ENTERPRISES
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PO BOX 13;17
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DISHMAN WA
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99213
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CRO2BI*218NL
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348430115
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0D264400
LOT aBLOCK
80B
000
FINAL
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SP -78-028
FEES:
$398.50
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5223 N EVERGREEN
RD
STRUCTURAL
Boildinq Code Fee
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Energy Studies Surcharge
BUILDING
Valuation; Corr
44368
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APPLICATION
DATE
PROJECT#
"~Q.=
081098
DATE:
83/10/B6
80009873
BUILDING $382.00
Building Code Fee $1.50
Enerfly Studies Sorcharae $15.00
FEES:
$398.50
PAID B,'
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PLANS Exin,
DATE:
# of Floors 01 # of Bedrooms 880 # of Rooms 000
PRIMARY STRUCTURE:
Desc: DWELL JG Group; B-3 Type: VN
So-F� 1067 Oancy Load Rate 32.80
S[CONDARY STRUCTUHES/
Desc: DW[LLINCUBCroopl R-3 Type; VN
Sq -Ft 1000 Occopancy Load Kate 6.00
Des�� GARAGE Oroopl M-1 Type; VN
Sg-F| 528 Occupancy Load nate 8.00
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OFFICE COPY
TOTAL FEE
TOTAL FEE
TOTAL FEE
Permit Fee
$").50
$15.00
$382.00
382.00
1080u *3V35.0 6
DEPARTMENTAL REVIEW
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 applica . I ue and correct.
Signature
Date
pprovedApproval
Cond.
Hold
/ #
Environmental Health Application
W. 1101 College
200
3 1274- &
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Room
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Planning/Zoning
N. 721 Jefferson
Engineerst - Xi ST / N �s-
A Fes/ k -'OAC" i
.-
N. 811 Jefferson
i
l
Utilities
N. 811 Jefferson
I
Plan Review/Fire Prevention
N. 811 Jefferson
3 -y. -
E(i)
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 applica . I ue and correct.
Signature
Date
FULL REAL ESTATE SERVICE
ZIOSBY
aTERPRISEB
QUALITY CONSTRUCTION 1 LAND DEVELOPMENT
TEL. 922-2200 • N. 1508 PINES ROAD • 1151CA IE, WA. 99206
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