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1986, 01-31 Permit: 00009545 Misc. IGNAYURE OF APPLICATION mVNERbRAGENT DATE OB ADDRESS PROJECT# - =^~ ~="' '19108 ~0b 910 S ��HD�N RD 10528 o1/31/86 00009545 GILMORE , KAREN A MISCELLANEOUS $20 . 00 D1910 OR== S SEEHORN RD SPOKANE "`' WA `'^' 99206 F""TICK / DOWNEY °°=^"`°= `"""="' ST: Z'"' "' "C""""~ ""./"°~==.. ""== Sr: ``"' ^==`~' CENSUS TR: INSPECTOR: 255321804 0999 LATS:61A00 LOT& BLOCK 004 001 VALLEY VIEW HILLS 6TH ADD "°ES' ZONE F513 ~=00 "-'00 "'"00 RSB MOD 00 004 SPECIAL INSPECTION SE OF PERMIT: = CO ~" $20 . 00 73517T"""'S SEEHORN RD "°=' ("AL) MISCELLANEOUS MISCELLANEOUS TOTAL FEE $20 . 00 Misc Desc : SPEC INSP Misc Fee 20 . O0 � 0l -31 -86 406 5 * 280Ou OFFICE COPY �� SIGNATURE OF APPLICATION OWNER OR AGENT DATE • JOB ADDRESS PROJECT# SEQ. A: DATE: OWNER: ADDRESS: CITY: ST: ZIP: APPLICANT: r �{/A•'1' CtOgGR t: ' Y' Arliy4 . Y •p CITY: /lo ,. ZIP: PH: clop LICENSER: ARCM/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL.: CENSUS TR: INSPECTOR: PLATY: LOT B(BLOCK FINAL PLAT NAME: ZONE.: ZONE FSB S-I S-2 RSB MOD. USE OF PERMIT: FEES: PAID BY: CA CK CG NC JOB ADDRESS: COUNTER APP: PLANS EXAM: DATE: C/\/th4> Ste' . r INSPECTOR'S COPY