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1988, 09-01 Permit App: 88002615 Fire Repairm INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 251-5-- ��,LJ L� f -I RC/ CITY/STATE/ZIP: 2,-`p SUBDIVISION: ��-� ti l_ -t ,_ t •e c� --C BLOCK- � LOT- ZONE: LOT AREA: F/A: WIDTH: # OF BUILDINGS: # OF DWELLINGS: i OWNER: r' 41,11 /) Gu / " :' 11,1c MAILING ADDRESS: CITY/STATE/ZIP: DISTRICT: DEPTH: R/W: WATER DISTRICT: PHONE: - - CONTACT- PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: r(e- 4": Z, *dc BUILDING INFORMATION CONTRACTOR LICENSE NUMBER:_ J,k� -� 1,4- /?2- 'ONTRACTOR : j/% S 06wo-liieU C ;x-1651 PHONE:27 +AILING ADDRESS: ��i4&-Al S ARCHITECT/ENGINEER:O PHONE: - - — MAILING ADDRESS: IIIA NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: PROJECT NUMBER= 88OO2615 DATE= 09/01/88 PA�E= Oi - UED PERMIT .�� **************************** PERMIT INFORMATION **************************** %ITE %TREET= 28i5 % DAVI% RD PARCE4-O5O6 ADDRE%%= %POKANE WA 992i6 PERMIT USE'.::.- FIRE REPAIR PLAT�= OOi7O5 PLAT NAME= MOUNTAIN VIEW 4TH ADD BLOCK= 5 LOT= 6 ZONE= A�%UB DI%T�= F AREA= 00O10625 F/A= FWIDTH= 85 DEPTH= i25 1:` W:::: 2 � DWELLINN%= i OWNER= WIRCHAK, DAVID %TREET= 28i5 % DAVI% RD ADDRE%%= %POKANE WA 99216 PHONE= CONTACT NAME= I N % CON%TRUCTION PHONE NUMBER= 509 487 27ii BUILDIN� %ETBACK%: FRONT= EXI% LEFT= EXI% RI�HT= EXI% AR RE= EXIJ ******************************* CONTRACTOR= I N % RECON%TRUCTION %TREET= P O BOX 7457 ADDREJ%= %POKANE WA 992O7 NEW= REMODEL= X DWELL UNIT%= OCCUP. LD= BLDG W X D = X %Q FT= REQ PARKIN�= �HANDICAP= t4 C', PERMIT ******* if. ******************** PHONE= 5O9 487 27ii ADDITION= BLD� H�T= DE%CRIPTION Cy* ROUP TYPE%Q FT ----------- ----- .... -.... .... ----- FIRE REP R-3 VN %EWER= N CHAN�E OF UIS, E= %TORIE%= HYDRANT= N VALUATION ----.... .... .... -.... i76OO.00 ITEM DE%CRIPTION QUANTITY FEE AMOUNT .... .... .... .... .... .... .... .... .... ... .... .... .... -.... .... .... ... .... .... .... .... -.... .... -------- .... .... ... .... .... .... .... .... .... .... RE%IDENTIAL VALUATION Y i89.00 %TATE %URCHARGE Y 3.5O PAYMENT DATE RECEIPT� PAYMENT AMOUNT 09/01/88 3372 192.5O ------------ TOTAL DUEOO = . TOTAL PAID= 192.5O PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING, ... .... _.... .... .... .... .... .... .... ... .... .... .... .... .... .... __.... .... _... .... ... .... .... .... .... .... .... .... ... .... .... .... .... _.... .... .... .... .... .... .... _.... .... .... .... ... __ BUILDIN� PERMIT i92.51'.') i92.5O .00 -... .... .... -.... .... .... .... .... .... .... - ------------ .... .... .... .... ... --.... .... .... .... .... .... i92.5O i92.5O .00 \ PROCE%%ED BY%ILVA, DAVID PRINTED BY%ILVA, DAVID ******************************** THA**************************if. ***��