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1985, 08-07 Permit: 00006730 Addition , �� APPLICATION ~'~' ~''^ OF ��~��^��+^� � ' DATE OYVNERORAGENT ` JOB ADDRESS: 1 =". °' DATE: "^°'*' 19020 E 4TH AV 0007276 . 08/87/85 00006730 """= SEVERSON , SEVERIN D Structure Fee $l26 . 00 ADDRESS: 1902 0 E 4TH AV Plumb ioo Fee $12 . 0O "'``' ST' ``"' 449/6 +.01K i!!'" WA -9.9f3÷9'`0000 DIFF . FEES & AMT DUE $1 . 50 ~''"""°`' EVERS ON/ SE()ERIN D ="`="`""' ADDRESS: CITY: Sr: ""' '^' "==~S== ^"""/""°IN""". ADDRESS: ,"`' ST: ZIP: '^~=`°' =""~"= INSPECTOR: 205520206 0999 .=,= LOT&"`"= FINAL 0D2545 000 000 PLAT NAME: CORBIN ADD TO CREENACRES ~~~"= ZONE FSB " ' " " RSB MOD ACRI 000 000 000 000 USE OF '""~'`' =""' ~°" "°' CA = CO NC 01 RESIDENCE ADDITION(.20X20 ) $139 . 50 X JOB ADDRESS: COUNTER PLANS "^=. 19020 E 4TH AV / 6:- 08/07/85 MULTIPLE PERMIT STRUCTURE TOTAL FEES $l26 . 00 Description A DWELL. Croup R-3 Type VN Square feet 000400 Occopancy Load 0000 Description A D W E LFB Croop -3 Type VN ',Square feet 000400 Occupancy Loaci 0 000 Description N DECK Croop R-3 Type VN Sqoare fee-t 008048 Occupancy Load 0000 Est Pln Ch k $0 . 00 Actual Pin Ch k $8 . 00 Va $0 . 00 PLUMBINC TOTAL FEES $12 . 00 Fixtor Bar sink 00 Drinkin Fount 00 Flr Drain 00 C::/i4 Pipe 00 Dish Washer 0 Gabage Dspsal 0 K,chn snk 0 L ndry tray Sew e 00 Urinal 00 Litt' clset 00 Lava 01 Shwr 01 Tub 01 B 0 O!h 00 fee / $12 . 00 Energy Study Surcharge Fee $0 . 00 Building Cocie Sorcharge Fee $1 . 50 0 LU 0 OO - 07 -8 � � Ol � � � l �� Ou ` " " ' " ' ' " ^ � � � . '' ''u