1984, 11-05 Permit: 00003202 ResidenceSIGNATURE OF ,(/ I / // APPLICATION
OWNER OR AGENT �, �/`/ (� DATE
30714 E 10TH
AV
OLSON RANDY C
Structure Fee $276.00
�30�708 E 10TH
AV
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�OLSON, RANDY C
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•0003374
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Structure Fee $276.00
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S T R U C T U R E /E V M I T
STRUCTURE TOTAL FEES $276.00
Description N DWELL Group R-3 Type VN
Square feet 000936 Occupancy Load 0000
Description N DWELLUP Group R-3 Type VN
Square feet 000936 Occupancy Load 0000
Est Pln Chk $0.00 Actual Pln Chk $0.00 Var $0.00
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13 DRYWAL
XT GRANT. --
5 FINAL t ..
16 GRE) .P -
77 WATER P FIN,;
18 DWV TEST
19 FIXTURES
' 2O SEWAGE DW
-
21 SEINES_-
�22..�-9TER HEA ic14
23 .OGRESS _
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11 FURNACE
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51 —}—
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53 FIRE PREVENT I
54 OCCUPANCY 'F'14 P_. i
55 REQUESTED T
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