1985, 04-26 Permit: 00005131 MH __
SIGNATURE OF / � APPL|CAT|
OWNER OR AGENT ~14 DATE »^'"-
"= *' ""= ="'°'
17421 E 4TH AV 0005461 04/26/85 00005131
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WARNER , JAMES H M/Home Installation 1;50 00
17,421 E 4TH AV
-
"'``' ST ""'
CREENACRES WA 99016-0000
APPLICANT:WARNER / JAMES H
CONTRACTOR:
""`' ST: ~~'
pH' LICE""E*'
ARCH/ENGINEER:
�.`�.
ST: ZIP:
PA""EL*' CENSUS TR: '"SPECTOR'
195521308 0999
."AT*. LOT&BLOCK FINAL
000792 008 002
APPLE VALLEY ESTATES 1ST ADD
`~°.°. ZONE FSB " . "'2 RSB MOD
RMH 036 000 000 025
USE OF PERMIT: FEES: ,"'" = CA ,, CG NC
260000 SINGLE WIDE MOBILE HOME (REP $50 . 00 X
'"""""""'421 E 4TH AV =""`=="�,(;A4
^Cil 26/8t
MOBILE HOME PERMIT
M/H PLACEMENT TOTAL FEES $58 . 00
Site Zip -00000
Number 1 W 14 L 70 H 10
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