1974, 07-14 Permit: 87002167 MH ReplacementSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456 -3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS /NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance with he provisions of any state or local laws regulating construction. ` �j %]
SIGNATURE OF �% 7/ � APPLICATION Q
OWNER OR AGENT O �t .(/t - /L1 (/ �7� IJ DATE
} i t,•) ... T NUMBER= 87002167 DrATE= 07/14/87 PAGE= 01
- j t : * u: * )t• * • h i * b : •?k )L• . • ?C •t(• . 1}• : 4 • •. • A : • .. p : •?. • k • • b : •?C •. •Ai •. PERmIT .. i R I+'I (•1 I . }. u N ¥ ..... ..j I Ar 16 p_ jsi -ji• )L• iii in •ttr J: •h: •?k * i,4 •j!• i4• i ii (f• pr •pi .h; ...p.
SITE •.,.. t. 18304 ,... '.:I1...}{ : }: AVE }»'A}";C} .}._ :if: :: :: 18554-1101
ADDRESS= t: YFSE:F:::i+jfACR}:::S 14t. :•! 99016
PERMIT USE= MOBILE HOME } : } :_ R L_ r A t:_ i:_ 't•'i } N °'r' __ ; A M+ F LOCATION
F'I...A T 4I: : 00050 i i'}...t "•! f NAME= L;(:i }R:.(: :1: N Et): ?ti TO C.RF::E::i`JA(::RI:::S
BLOCK= LOT=
._ tJ `i :::: ZONE= r.:! t:. h .I: ? � ... 1 . „:.:_ t.Y
AREA= 00000000 r / - WIDTH= 136 DEPTH= 183 7i 1 - y(
4 OF
BI....t.Jt..Y. +y:::: 1 •t!' DIIi::.}... }....Ii'NGYS::.`.
OWNER= DITTO, ELVA VAN
STREET= t '. } +9 0 6 }::. (!I ... }'..I. AVE
ADDRESS= G I'? E:. E:. P+1 F•i t... R E:. S WA 99016
PHONE= 5 i,. 9 928 ,( .' } '.}/ 0
CONTACT i+.j(::!)`1I::: :: :: OWNER PHONE NUMBER= 509-928-4390
BUILDING SETBACKS: FRONT= :: s::`. LEFT= RIGHT= 10 RE::(,Fi : :::
• ri) t•** in:**) l• iR•1•:•*) iP:• P:y .ig : *)i..•-P:.*)i:**•j4•***• MOBILE
HOME PERMIT •1{ :R• )!• :N• • ?: is iN : t• 'H: * { .- 9: •1:::• :: c: ); :a• i4• )G •jt :4• :u::4- :R :C
CONTRACTOR= OWNER PHONE=
Y' 16: : : 75 + , 4 U ` MODEL=
SERIAL SERIALt= WIDTH= 14 i..E::NGt.T.H- :: 70 HE: : :I:GI.I..i.: : :: 10
ITEM :oI:; :cR3:i=1.1.uN
INSPECTION FEE
BUILDING SURCHARGE
QUANTITY f=I:E :: A it)Uij..i.
........................
1 50.00
3.50
* •P.- :n. •Jk * )!• :u:* * •x• :n: •1(• ** .u• :q• :R. Jt. yi. *.K.** )(..jj.* * *.jE..Jt..y{. 1::' i =l 't' P'i E :. N I ::> l J i• "1 m A I'l 7 * 1!• •?!• 1( •1( * * * 1e• :n• P: it. i!• •P: •1p * * -1r * *.1C )h •1!: 9!• i(- )i :u: *
PAYMENT DATE
07/14/87
TOTAL DUE=
2722
.00 T.. O ..} A i.. PAID=
PAYMENT AMOUNT
1
PERMIT TYPE FEE AMOUNT t::-, M O i_ I i'+j _i PAID t'A M O k.1 I++N T OWING
MOBILE "i M } PMT ^ 3 . C0 53,50 :00
53.50 53.50 .00
PROCESSED B r " r : : : R_ O c F I N
) u u 6 4 b 4 ) ti J i 4 @ $ 4 ? ) ? 4 i p ) p n n k d )( *t ) THANK t (, t I „I )G •P: * il.*.ji• )i: in: irk * in: •j(. )i..j {• •h: * )l• * iR• )C. * •ji• :1i• •j4• •jk )4 )e: *.}[.* .t¢ *.1F