1990, 06-29 Permit: 90000703 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.13O3BROADWAY-AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/nom,vmat/hu,00xummoum/ow*mwa»n/wauvn.ommmutmo/nm,manonoonmmoomnanuvvumxtouuvmoonnragennvvomvnooumpermit/application itrue and authortze SpokaneCounty processing. In addition, / »mmmauand understand the INSPECTION REQUIREMENTS/NOTICE~~.~.~.~~~.e.="""pof laws and ordinan/ this type of work willoouomp//ed with whether specified
give authority to
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
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laws regulating violate---� --~~ any state ~ local law regulating construction, »'o»»warranty mconformance with the provisions many state mlocal
SIGNATURE OF
OWNER OR AGENT
•
APPLICATION
DATE
PLAT4= 999999 PLAT NAME= RANGE
c =LOT= ZONE= RI.DI%T4=
�xL�~ F/A= F WIDTH= 36DEPTH= 300
OF B
.DGS= i 4 DWELLING%=
W :':PACIFICGAJ TRANSMISSION PHONE= 509 534 0657
ETP' T|= P U BOX 4389
ADuRE= SPOKANE WA 99202
CONTACT%NAME-KROSE WOODWARD PHO�' :�ER= 509 534 065—
3ULuIn6 �/�*� E: FRONT= EXI% LEFT= EXI% RIGHT= EXT::.;REAR= EXIJ '
****************************** MOBIL- HOME PERMIT **************************
CONTRACTOR- OWNER
YR/
MODEL=
'SERI AL4 =
WlD� i2 LENC,TH= 60 HEIGHT= 10
ITEM DE%CR:`TION
FEE AMOUNT
INSPECTION FEE----------
STATE SURCHARGE i 50.O0
COUNTY SURCHARGE
4.�O
****************************** PAYMENT %UMMARY **'`�***********************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
06/29/90 3718
62.50
TOTAL DUE= 00 TOTAL PAID ------------
^ = 62.50
PERMIT TYPE
__ FEE AMOUNT _ AMOUNT PAID -MOVNT OWING
MOBILE HOME PMT 62^ 5O ��-- ---- -------------
62.50 .00
P/W=
62.73 62.50 .00
�DEL, CLORIA
• • - • , CLOr:eIA
******************************** THANK YOU ********************************