1986, 05-22 Permit: 00011182 Residence : - ' : ~ _-. ' -' - ' � � . - - _� ' �__ �
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S|GNATUREOF ^� APPLICATION
OWNER OR AGEN �� � (:.,i-/^ DATE /'-/�"~� /^/Y-�~�-�, ~ '- _ . -- / _ - � - ''
JOB ADDRESS . PROJECT#
. SEQ. 5. DATE:
18213 E 1ST , AV 0812361 05/22/86 00011192 I
OWAK NER: VIEW/ BUI'^ ERS BUILDINC $4�.` 00
ADDRESS: E 1ST AV Building Code Fee $1 . 50 �
:1 8213
"IT,' = `='
LIBERTY LAKE WA 99019 Energy Studies Surcharge $15 , 00 �
,.,=^°,.
LAKEVIEW/ BOILDERS
""~`"~"`= � ^ 4;b~-*-^ 00
LAKEVIEW BUILDERS
^"D"E""'
BOX 266 L/ | 4
",``' MAN LA ~'"'99025 .?'
""=~"E~'
09-226-0555 LAKEVB*164L5
ARCH/ENGINEER:
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195511502 0999
.""~. LOT& BLOCK FINAL
0D254500 002 0O1
PLA,"^ME:
MOEN 2ND ADDITION
.~~E~. ZONE =" "'` "'" RSB MOD
SFR
01 +001 RESIDENCE W/ GARAGE
-_-
USE OF PERMIT: FEES: PAID BY: CA CK CO NC
'= ^=="""= COUNTER APP: i PLANS EXAM: "=E'
18213 E 1ST AV `~-.1 ~ K[Q
STRUCTURAL
Building Code Fee TOTAL FEE $1 . 50
Energy Studies Surcharge TOTAL FEE $15 . 00
BUILDING TOTAL FEE $455 . 00
Valuation : Corr 58744
Permit Fee 455 . 00
4 of Floors 01 4 of Bedrooms 080 4 of Rooms 000
PRIMARY STRUCTURE :
Desc : DWELLING �h��� Group ; R-3 Type : VN
Sq-Ft Occupancy Load Kate -32 , 00 4. . 00
SECONDARY STRUCTURES ;
esc : DWELLING Group : R-3 Type ; VN
Sq-Ft 724 Occupancy Load Rate 32 . 00
Desc : GARAGE Group : M-1 Type : VN
Sq-Ft 484 Occupancy Load Rate 8 . 00
. Desc : DECK Croup : R-3 Type ; VN
Sq-Ft 92 Occupancy Load Kate 2 . 00
O5"-7'2 -1T6 76Ol � *� 7l � Ox
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OFFICE COPY
DEPARTMENTAL REVIEW
Approved Cond. Hold
/ 'T.r� 5-i3-66 Approval
Environmental Health Application# —
oi W.1101 College Ft kn<
Room 200
41,,y. ,7,„„port(i zy ,/-fee-ee,.,
Planning/Zoning
❑ N.721 Jefferson
4
IA Engineers g�a 4 a� �r yr.
811 Jefferson /,
Utilities I
[1:1N.811 Jefferson
Plan Review/Fire Prevention s ��
N.811 Jefferson PeG
Other(SEPA/Critical Material/etc.)
Cil
o Fast Track/Special Inspection information
Project Representative 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 to compile said application is true and correct.
SignatureC �GG� Date `(p (.�
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