1984, 07-20 Permit: 00001303 Addition SIGNATURE OF ' APPLICAT N (�
OWNER.OR AGEN ��r�� w,� DATE C� ' :rY
JOB ADDRESS: SEQ. *: DATE: PROJ*:
13215 E 4TH AV 0001335 07/20/84 00001303
OWNER:
,1AAP , D E Structure Fee $75 . 00
ADDRESS:
13215 E 4TH AV
CITY: ST: ZIP:
SPOKANE WA 99216-0000
APPLICANT:
'AAP , D E
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: CENSUS TR: INSPECTOR:
225419107 0999
PLAT*: LOT&BLOCK FINAL
UD2544 001 022
PLAT NAME:
222544
ZONE*: ZONE FSB S-1 S-2 RSB MOD
AGRI 000 000 000 000
USE OF PERMIT: FEES: PAID. BY: CA CK CG NC
ADDITION TO RESIDENCE $75 . 00 X
JOB ADDRESS: COUNTER A P' PLANS EXAM: DATE:
13215 E 4TH AV 07/20/84
STRUCTURE PERMIT
STRUCTURE TOTAL. FEES $75 . 00
Description A DWELL Group R-3 Type VN
Square feet 000264 Occupancy Load 0000
Est Pin Chk $0 . 00 Actual Pin Chk $0 , 00 Var $0 . 00
O
U
W
U
LL
LL
0
07 -20 -8/4 57442 * 7510 � �