1986, 07-18 Permit: 00012175 Relocate ResidenceS|GN4TUREOF
APPLICATION
OWNERORAGENT DATE
JOB ADDRESS
1225 N MARCUERITE RD
v}[N/ ELMER R
N ARCONNE RD
.,-SPOKANE "`'WA .'"'992l2
^"�VNT'ELMER R
=I==`=LMER R
1225 =D"="' N ARCONNE RD
"`"'KANE ST:``"'9212
"°LICENSE*:
^°=/=°.°EE".
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,',,' ,,' ZIP:
185410317
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54400
0D2PLAT
�TaBLOCK 001018
FINAL
"AME'HUTCHINSON'S ADD
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01+001 RELOCATE RESIDENCE
USE OF '""~'`'
1225 N MARGUERITE RD
RELOCATION PERMIT
RELOCATION
Addr 1225 N ARCONNE
City SPOKANE
County SPOKANE
PROJECT#
"EO.�'3501
0613501
DATE:
00012175
RELOCATION
$50.00
«*J5m3-ritney FEE roe
RELoomI on.)
okn_y
~"= $50.00
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RD
State WA Zip. 99212 0000
Sq -Ft 001717 Miles
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TOTAL FEE
$50.00
Fee 50.00
86 33/0 5o.0-ocar�l
DEPARTMENTAL REVIEW
1 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 application is true and correct.
Signature Date
Approved
Cond.
Approval
Hold
Environmental Health Application N
_ W. 1101 College
Room 200
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7-3-5"
Sky
SKyt�S
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4.
Planning/Zoning
N. 721 Jefferson
/Engineers
or N. 811 JeffersonK
/
it
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4F
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
1 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 application is true and correct.
Signature Date
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