1987, 03-17 Permit: 87000634 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NOWTHM1MUTERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that 1 haveexamined this permit and state thatthe information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, | have read and understand the NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this of work*mueoompnomwuxw»ethu,apoomouoon,mo,nm.T»oomnnnomano,muummnmnnmvmoton*eaumo,|tv
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
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SIGNATURE OF
APPLICATION
OWNER onAGENT DATE
'•'
DATE= 03/17/87 PAGE= 01
*******«******************** PERMIT INFORMATION ****************************
PARCEL NUMBER= 17552-0136PTN
SITE STREET= 19211 E BOONE AVE
ADDRESS= GREENACREJ WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLATO= 000499 PLAT NAME= CORBIN ADD TO GREENACRE%
BLOCK= i LOT= 28 ZONE= AGRI DIJ7O=
WIDTH= 103 DEPTH= 252 R/W= 90
AREA= 00800880 F/4= F
* OF. BLDGE= 2 4i, DWELLINGS=
OWNER= SMITH, RAYMOND RUBTE
STREET= 19211 E BOONE AVE
ADDRESS= GREENACRE% WA 99016
CONTACT NAME= OWNER
BUILDING SETBACKS: FRONT=
:35 LEFT=
PHONE= 509 928 5896
PHONE NUMBER= 509-928-5896
RIGHT= 15 REAR=
****************************** MOBILE HOME PERMIT ************************
CONTRACTOR= OWNER PHONE=
YR/MAKE=
JERIALO=
ITEM DESCRIPTION
INSPECTION FEF
BUILDING SURCHARGE
MODEi=
WIDTH= 20 LENGTH= 50 HEIGHT= iO
QUANTITY FEE AMOUNT
2 100.00
1.50
******************************* PAYM NT SUMMARY ***************************
PAYMENT DATE
O3/i7/87
TOTAi DUE=
RECFI'`T�
873
.O0 TOTAL PAID=
PAYMENT AMOUNT
iOi^50
------------
10i.50
****************************** END OF REPORT *******************************
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