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1985, 04-04 Permit: 00004778 Addition
l I SIGNATURE OF OWNER OR AGENT 1021755E HOLMAN RD WELNICK. THOMAS 0 Structure Fee 361.00 10217 E HOLMAN RD S SPOKANE . WA f. 99206-0000 WELNICK; THOMAS 0 GONTRMCTOR: ST: ,I.. LICENSEE: MNCX/ENGINEER. TEES. 361.00 PATO 9Y: X GR CG NC 054410906 cENSUST . 0999 : 04/04/8° INE.EcrOR. 000720 LOT & ELOCI( 006 001 FINA PILfLER ADD MUD. 000 5000 5000 8068 710000TRESIDENCE ADDITION RESE: 10217HOLMAN RD STRUCTURE APPLICATION DATE es 50005102 .�TE 04/04/85 �R�00004778 Structure Fee 361.00 TEES. 361.00 PATO 9Y: X GR CG NC EGNNTEN .. iaw .L. N.JEF : 04/04/8° STRUCTURE Description A DWELL Group R-3 Square feet 000168 Occupancy Load 0000 Est Pln Chk $0.00 Actual Pln Chk PERMIT Type VN $0.00 Var 04=041-8 TOTAL FEES $61.00 $0.00 141.7= *61100�-�. OFFICE COPY