1991, 06-28 Permit: 91003805 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303B OA.GWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)45P-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. ,1
DATE
SIGNATURE OF `" `�` APPLICATION 2 g q'/
OWNER OR AGENT DATE 5/ei..4,te...,
l l
PROjECT NUMBER= 91003E05
•:• ti, .,, ,F.:^. ..:IT DATE::
06/29/91PAGE= 01
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, , p; .EET= � .... .? }t ('i •± ::'? i^ BUCKEYE 't 4 t • �'? ±':._ _........ 08552-0406
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CHARDS WA 99027
PERMIT USE= :fNvit,,1' MOBILE HOME _ REPLACEMENT
NAME= ••,'4ER ROAD MOBILE
BLOCK:::: • 3 ±...?..3 { =ZONE=%.?ice°_« ; i:, :j.=.'i •n._« c;
AREA=
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AREA=00000000±•• {:,_: t-1 WIDTH= 70 DEPTH= 120 r;?•i
OWNER= STUART, :TER . MARY
PHONE= .. ,. 3764
f•i,.?.??+•'•`. ?::. ,..1.--: SPOKANE WA } Y2 ?
CONTACT NAME= t:r .... OR MARY STUART PHONE NUMBER= R:::: t0` 926 7764
t:.?.i I?.«?.) t•t` (; ::>±::. ± :f(••l?.:±< . t ,;±._NT= 20 LEFT= ?:::% RIGHT= 50 REAR=
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`•'` Y•
CONTRACTOR= OWNER
./MAKE= A978
ITEM DESCRIPTION
......................
Y'?"'i"i:TIOi'•,i i.•1-...
J..t URCHARGE
COUNTY SURCHARGE
MODE ±...:::: ALL .?::. r=t HOME
t,i.D•I H: • •1 4 LENGTH= 't,}:} HEIGHT= 10
QUANTITY FEE AMOUNT
4.50
8.00
4',' :t: Fk :+. j,: •n• •!`: '7?..+...tr .p. _,,.:t?• j?• 9k 9t :R• •n::++: it.- 3?• 9?- r. g,• ty..n. ;,.. ,: • +: •! ' ' +: ?-' Ai m ,'. ?,} ? summARy ******************§********
PAYMENT DATE REcETPTA PAYMENT AMOUNT
06/28/91 4233 62,50
TOTAL o0 TOTAL
y ,,.ID -cam 62.50
PERMIT
.R . -TYPE. :: AMOUNT AMOUNT ? a AMOUNT OWING
Y
MOBILE HOME PMT 62.50 62.50 • ,00
r:?.? BY: : ;?.a3....I.3::. :?!"?A , ± t.;
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