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1984, 12-11 Permit: 00003699 Relocate Bldg
SIGNATURE CSF OWNER OR AGENT DATE APPLICATION J OIC 12REs.5. PROGRESS RD � f OWNER: MIE::LKE, DAVE AM'N PROGRESS RD AI1JE:.RADAL.0 CI V :« ST: ZIP: WA 99037-0000 APMf:n E , DAVE CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE*: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PA[?4L3'P 4140 ... 'SAW (5a INSPECTOR: '6110133 LOT l7 Mr/ 0 99 FINAL L� P,1h� .' IDAN `S ADD ZONE#: ZOI-1t7R .1. FSE 5 1 5 2 555 MOD PIANS EXAM: 11 `L` 1rATTED BULDINC ON BASEMENT JOgy,I —a: PROGRESS RD MULTIPLE 59 :b 6'0391 a DATE: 12./11 /£34 PROJ#: 0 0 0 0 X699 Structure Fee $102.00 RELOCATED BOLDING ON $50,00 FEES: $152.00 .PAID BY: CA CG NC/( COUNTE PIANS EXAM: A7'F��.1 1C7 D72/11/8 / RMIT STRUCTURE Description N DWELLUB Group R-3 Type VN Square feet 001643 Occupancy Load 0000 Est Pin Chk $0100 Actual Pin Chk $0,00 Vrir 12-11-84 TOTAL. FEES $102,00 $0100 871.9 *152306 OFFICE COPY