1986, 05-16 Permit: 00011014 ResidenceSIGNATURE OF '
OWNER OR AGENT DATE
JOB ADDRESS
APPLICATION
4914 N LUCILLE RD
oAT5,05/'16/86
TLiPPE.R; :I: NC
Xis(.1:I:I_DING $414.50
4914As,sFN LUCILI...EE • RD
Energy Studies Surcharge ' $15, 00
SPOKANE WA 99216
CANT.
TOPPER, INC
Tui" PER INC
AsmsEss
12929 E SPRAGUE AV
5
SPOKANE: • WA •992'16
509--92£3--1991 TUPPEIR'179DC
A RCr/SNGNEEa
AD0RESS
PANG SV.
SE' SIR
CG
MC
PARCEL.
35644907;
I a
I
ow.
0172061400
oT BLOCK
001' 012
FINAL
SUMMERFIEL.D EAST 2ND ADI)
sc.,-SFR
'300
000
5000
Ass 000
MooF
•
01+001 RESIDENCE W/GARAGE
200 ADDRESS 4914 N L.UC:CLL..E_ • RD
STRUCTURAL
Building Code Fee
Energy Studies Surcharge
BUILDING
Valuation: Curr 49696
IF of Floors 01 4 of Bedrooms
PRIMARY STRUCTURE;
Desc; DWELLING . Group: R-3
Sq --Ft 1210 Occupancy Load
SECONDARY STRUCTURES;
Desc ; DWEI_ LINGUB Group: R-3
Sg-•Ft 1'1£34 Occupancy Load
Desc: GARAGE Group: M-1
.Sq -Ft 464 Occupancy Load
PROJECT#
00122.42
oAT5,05/'16/86
00011014
Xis(.1:I:I_DING $414.50
I?ui.lding Code Fee *'1 , 50
Energy Studies Surcharge ' $15, 00
FEES:
. <$431.00
PANG SV.
CA
CG
MC
COUNTER ^-4/760
GLAHS EA M.eiP
DATE:
000 it of Rooms 000
Typpe: VN
Rate .42,00
Type; VN
Rate 6;00
Ty.e: VN
Rate 8.00
0571`6'-86
OFFICE COPY
TOTAL_ FEE.
TOTAL FEE.
TOTAL FEE
'Permit Fee
$1.50
$15.00
i;414.50
4'14,50
246.91 *431,00•
•
INSP-ID
'�
•
DATE
9-/6,-r
0°
1
a
O
-J
m
PLBG
MECH
MOBILE
HOME
2
W
U
RELOC
2
0
N
0
CO
5
WROJECT FINAL