1991, 10-21 Permit: 91007033 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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 the provisions of any state or local
laws regulating construction.
SIGNATURE OF ,� /
OWNER OR AGENT ice`
APPLICATION /U"
DATE jq
PROJECT NUMBER:: 91007033 ISSUED D ?I T
DATE= 10/21/9i
PAGE— 01
it ii ii ie bi 1t }+i N: tt Pi }i ii )f ii 1t ii ii It ii ii ii it x a n x * r•' l::, !•+; r'i j, ! INFORMATION '!i: 'P: t{ K R: 3l + 1{' '!k )+: 74 r' * A: 9l k 9k '1k A 'f+: )? 1::++: r: r: 9? J+: 7t:
SITE STREET= 81 6 N BOWMAN RD
ADDRESS= SPOKANE WA 99212
PERMIT USE:::: SINGLE WIDE MOBILE HOME
PLAT4= 000690 PLAT NAME=
BLOCK= 4 L::OT::::
IL
.+,.
OWNER=:
STREET=
ADDRESS=
WHITE, DALE & HOLLY
816 N BOWMAN RD
SPOKANE WA 99212
t•• 'l t•, 1353i-1159
— REPLACEMENT
EAST ! S!"OKANE
r t I i.) i H= 40
WATER DIST
PHONE= 509 328
126 R ISI=
4630
CONTACT NAME= DALE WHITE PHONE NUMBER= 509 328 4630
BUILDING SE--,Cs1: FRONT=
iOdT.NA LEFT= NfRIGHT= N ! REAR= N A
;a9kj*yA{ u11)k rk : }l Nl*br*1 4 9*)P16 I;:iHOME
Y"!`Er"!-s iiNVi*yjr1!PPfPrrk x PrP3
? 4r
STREET= UNKNOWNN
ADDRESS=
UNK N WN WA
`• R/iiAK r::::::
1976 LIBERTY
ITEM DESCRIPTION
-----------
INSPECTION E E[^:E::
STATE SURCHARGE
COUNTY SURCHARGE
UNKNOWN
. i {
MODEL=
WIDTH=
i.:HON i::.::
r Ir C;EWc:'OD
14 LENGTH= i 0 HEIGHT=
.10
QUANTITY
1
FEE AMOUNT
----------
50.00
4.50
8.00
. r )* x r *)# k * 3iin o * x * x *r " i Y y - 4 SUMMARY ri sf :;r1f*jrr:r t * : r:ii
PAYMENT DATE
10/21/91
TOTAL DUE::::
PERMIT TYPE
---------------
riOBIi_.E HOME PMT
r':E.'.C:E IPT4
7t"s;:9
:00 TOTAL i-=AI.;;i=
FEE AMOUNT
62.50
62.50
AMOUNT PAID
•
62.50
62.50
PAYMENT I";"; N! r'}!"!C .JN -i
62.50
50_)
50
AMOUNT OWING
-------------
,00
ani ear
PROCESSED D BY: WENDrEL..; GLORIA
PRINTED BY: WENDEL... , GLORIA
...u..yt.:1,:... •ii * •'r+: •i;: •* .k..yt.... * * 7i N t. . a;.. h:. }+:... 3t• i+: : i+: it• THANK Y _%Nr* nx)raue *:tH*ninura*rNrie :p
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