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1984, 12-18 Permit: 00003754 Inspect Fee
SIGNATURE OF APPLICATION OWNER OR AGENT DATE JOB ADDRESS: SEQ. #: DATE: PROJ#: 16718 E:. WELLESLEY AV 0003982 1 './18/84 00003754 OWNER: A ORESS JOHN C SPECIAL INSPECTION-H $50 , 00 16802 E WELLESLEY AV CITY: ST: ZIP: SPOKANE WA 99216--0000 APPLICANT: LAM, JOHN C CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE#: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL#: CENSUS TR: INSPECTOR: 015411305 0999 PLAT#: LOT 8:BLOCK FINAL 001244 005 013 PLAT NAME: SUNNYVALE ACRES ZONE#: ZONE FSB S-1 S-2 RSB MOD AGSUB 24C 03C 03C, 000 USE OF PERMIT: FEES: PAID BY: CA CK CG NC SPECIAL INSPECTION-HOUSE RE.LOCATIO ! CDUNTERAP.� $50 . 00 PLANS EXAM: DATE:X JOB ADDRESS: 16718 71(3 E. WELLESLEY AV /,l 12/18/8 MISCELLANE . U PERMIT } 0 0 w 0 LL LL 0 12 -18 -84 879, 7 ° * 5O. Pn6