1986, 05-14 Permit 00011040 HayshedSIGNATURE OF t APPLICATION�` /
OWNER OR AGENT _ Z� -QAV k \ � � DATE 5-114) I.Q b
JOB ADDRESS ' PROJECT#
11103 E
EMPIRE
AV
GWNLR:
WOEFIRLIN,
BEVERLY J
RC55:
11103 E
EMPIRE
AV
CITY:
SPOKANE
IT:
WA
z:I:
99206
AIILIC AN T:
WOEHRLIN,
BEVERLY J
CONT R.. Tp R:
WOEHRLIN,
BEVERLY J
AOORCSS:
11103 E
EMPIRE
AV
CITY:
SPOKANE
ST:
WA
C":
99206
IX:
509-922-3327
LICCNS..I
ARCX/CNe1NCLR:
wpoasss:
CITY:
sY:
IA eceL.:
045430709
eNsus ra:
In sl ecreR:
ILAT.:
00 138200
LOT I LL.CX
004
004
MIN AL
PLAT NAM L:
GRADVIEW
ACRES
zovCl:
1OVL
AGRI
rSS
000
S-,
000
S - z
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RSC
000
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21 I- IAYSIHEDC2aX247
VSC OI ICR MIT:
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lOC AOORC55:
1'1103 E
EMPIRE
AV
SC p. p:
..tYu12201
OAT L:
1 05/14/86
00011040
BUILDING $45100
Building Code Fee $1.50
MLLS:...
$46.50
OY:
COUNT" AII:
ILANS LXAM.
N
STRUCTURAL
Building Code Fee
BUILDING
Valuation; Curr 1920
0 of Floors 01 0 of Bedrooms 000 * of Rooms 000
PRIMARY STRUCTURE; p p
Ses� r FIAY4480DOccu ancyul_oad_1 TyRateVN 4,00
SEgONDARY STRUCTURES,
TOTAL FEE
TOTAL FEE
Permit Fee
$1.50
$45,00
45.00
05-14--86- 24L925 *46.50
OFFICE COPY