1985, 07-18 Permit: 00006430 Repair Fire DamageSIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
16213 E 22ND AV
STEWART` ROY C
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16213 E 22ND AV
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VERADALE WA 99037-0000
HANSON CARLEN CONSTRUCTION
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HANSON CARLEN CONST CO
5309 =D"ES"' N SULLIVAN RD
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SPOKANE WA 99216-0000
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509-928-7406 HANSOCC187RL
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C'`,' ST: ZIP'
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255450217
CENSUS TR:
.LAT=
000968
LOT uBLOCK
017 002
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RIDCEMONT EFTATES
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ZONE
SFR
FSB
000
S 1
000
5 2
000
559
000
MOD
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01 FIRE DAMAGE RESIDENCE
16213 E 22ND AV
STRUCTURE
S"O. *:
0006923
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07/18/85
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00006430
Structure Fee $246.00
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$246.00
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CK
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CG
NC
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DATE:
07/18/85
PERM IT
STRUCTURE
Description R DWELL Group R-3 Type VN
Square feet 035000 Occupancy Load 0000
EST Pin Chk $0.00 Actual Pin Chk $0.00 Var
TOTAL FEES $246.00
$0.00
OFFICE COPY
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