1985, 08-19 Permit: 00006972 AdditionSIGNATURE OF
OWNER OR AGENT 1/47-'92.4ki.e-4 L
JOB ADDRESS:
1321 N MARGUERITE RD
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BEESE/ KENT D
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1321 N MAR CUERITE RD
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SPOKANE WA 99212-0000
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01 RESIDENCE ADDITION(11X14)
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1321 N MAR c;uER IT i:: RD
STRUCTURE
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0007543
DATE'
08/19/85
PROJ*:
00006972
Structure Fee $61.00
DIFF. FEES & AMT DUE $1.50
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DATE:
08/19/85
PERM IT
STRUCTURE
Description A DWELL Group R-3 Type VN
Square feet 000154 Occupancy Load 0000
Est Pin Chk $0.00 Actual Pin Chk $0,00 Var $0.00
Energy Study Surcharge Fee $0.00
Building Code Surcharge Fee $1.50
TOTAL FEES $61.00
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OFFICE COPY
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 is true, correct, legal, and binding.
Owner's Signature
Date p -
Approved
Cond.
Approval
Hold
• Environmental Health Permit Number 63/ % 6
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W. 1101 College
Room 200
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,
Planning/Zoning
N. 721 Jefferson
Permit Number
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
I
Plan Review/Fire Prevention
N. 811 Jefferson
50 J f 1-o (e t,D _INV ti eUk I -
.IU -g
Other(SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative 1
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 is true, correct, legal, and binding.
Owner's Signature
Date p -