1985, 09-17 Permit: 00007499 Addition p!GNATUREOF � ^ APPLICATION
OVVNERORAGENT - DATE
- --'`' ~�r �� ' ' �
JOB ADDRESS: SEQ. *. DATE: ,°°,*.
4425 E 8TH AV 0008236 09/17/85 08007499
OWNER:
FLECK / CHARLES H BUILDING $75 . 00
ADDRESS:
4425 E 8TH AV Building Code Fee $1 . 50
"'``' = `'~'
SPOKANE WA 99212
FLECK / CHARLES H
CONTRACTOR:
^"~"="'
CITY: Si: Z'''
PH' LICENSE*'
ARCH/ENGINEER:
~=~~=
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""°"=`*' C"°=°`"' INSPECTOR:
235324302 0999
0D2543 LOT&BLOCK014 012 FINAL
PLAT NAMCARNHOE:
ADD
=°"*' ~=0 "'' 0 Vo 74 7114
01 RESIDENCE ADDITION
USE OF """°"` -~E"' PAID BY: CA = = NC
$76 . 50
^""""""""S 8TH AV "=°`""^' ^=~""="' DATE:
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4425 E
STRUCTURAL
Building Code Fee TOTAL FEE $1 . 50
BUILDING TOTAL FEE $75 . 00
Valuation : Corr 6758
Permit Fee 75 . 00
of Floor 01 # of Bedrooms 000 # of Rooms 000
PRIMARY STRUCTURE :
Desc : A DWELL Group : R-3 Type : VN
Sg-Ft 255 Occupancy Load Rate 26 . 50 Valuation 6758
SECONDARY STRUCTURES :
0
0
0 9 ~ l 7 -' 5 5 O 0 3 5 * 7 6 5 O
i
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Environmental Health Permit Number
❑ W. 1101 College
Room 200
Planning/Zoning
❑ N.721 Jefferson _
Engineers Permit Number
❑ N.811 Jefferson
Utilities I
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
Other(SEPA/Critical Material/etc.)
CI
•
❑ 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 is true,correct,legal,and binding.
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Owner's Signature .Q�� ./g1
// Date
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