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1986, 09-23 Permit: 00013272 Fire Damage Repair
S|GNATUREOF OWNER OR AGENT 0 JOB ADDRESS ~~~= 4 E AUGUSTA -INSON/ MEL N ~~~~^.°' S HAVANNA c.`- `MANE "" "~. WA 99206 a:.LINSON/ MEL N CONTRACTOR: TUMLINSON/ MEL N ="""""' 1304 S ""`' SPOKANE '^' HAVANNA 509-534-8512 ^"""/=".== ^"~""""' 075541806 ~^`~' 00113000 ~^`~^"= SIMPSONS ADD TO CREENACK' "`' WA 992O6 "=~"~~' ",. |""""== '""=C`= | |=,a"�=. | 002 002 |~~^` "~"~~' |`""" �SFR |=" /"` |" ` |°"" |""" |800�0O0/08O/0O,| • DAMAGE REPAIR ~"^~^ =^~'`' '"~^="~"= AUGUSTA Building Code Fee BUILDING PRIMARY STRUCTUREJ SECONDARY STRUCTURES: AV STRUCTURAL APPLICATION o4TE �_ 1 � �/�/ \/ �/ ue, i,4753 /~"=' / 09/23/86 PROJECT# :,n/n�wr -~^�~^'`" T.61.08 Building Code Fee $1.50 -^~ $82.50 / PLANS EXAM: TOTAL FEE TOTAL FEE Permit Fee =`"' $1.50 $81.01 81.00 � 09~23-8` 6 525,6 *8758u OFFICE COPY SEQ. .: APPLICATION DATE (DATE: PROJECT SIGNATURE OF OWNER OR AGENT JOB ADDRESS OWNER: ADDRESS: CITY: APPLICANT CONTRACTOR ADDRESS: CITY ST: ZIP: ST: ZIP: ARCH /ENGINEER: ADDRESS: LICENSE.: ST: ZIP: PARCEL PLAT PLAT NAME ZONE CENSUS TR: !LOT & BLOCK �l 1_+ !INSPECTOR: FINAL • UD TO GRE:.i:: Nf'It USE OF PERMIT: JOB ADORE55: ZON2�) rF'S� ((99 000 5- j.. IS 0 0 0 MAET F:: F EPA:I i Sf� -t2 (y 000 RSB 0 J0 MOD .,uUS T i:.l Al) ..i.tii:l.fiq Lode Fee f'R.T.MARY STRUCTURE: RE: SECONDARY STRUCTURES STRUCTURAL FEES: Vii+ COU pPp; !PLANS EXAM: lPAID BY: FEE TOTAL FEE Permit Fee e !CA CK ICG IN DATE: $0 01.00 INICD=rvrnnIn