1989, 07-21 Permit: 89002367 MHSPOKANE COUNTY DEPARTIVIitMT CUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
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 c.nformance with thvisions of any • e or local laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
7/2 //Pr
,..,1:;'O jE::.C,... NUMBER= = 89002_":i DATE= j,: _..� s +
4 + .:
ISSUED PERMIT
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SITE STREET= EVERGREEN 34644-0602
5021 .'� '_: .{.•' , .. .... s::. �...'t!• ....
ADDRESS=SPOKANE WA
x, :)92 .
PERMIT SINGLE WIDE MOBILE HOME — REPLACEMENT
PLAT=
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Fa1 !? OF WEST «fi ;
IRRIGATE
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OF�:ii i}�. -.,• .... •,f 'i!' DWELLINGS=
OWNER= , N „ X .E _tDEBRA "
STREET= 5021 N EVERGREEN RD
ADDRESS=
iDi_:tt. ?'',1^= .`P i((•NE I! 992.
PHONE= 509 928 4E:;72
CONTACT NAME= !.._.... t.. W1'•'..:..!_: PHONE NUMBER=
BUILDING SETBACKS: 100 LEFT= RIGHT= 16 REAR= ! (+' fi.l
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CONTRACTOR= j" j'=AC'Y•! i OWNER PHONE=
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ITEM E{,'1 ..,'Esc::RE.1"{J.O N
INSPECTION FEL
STATE SURCHARGE
COUNTY SUROHARGE
nHAMTTYV
FEE AMOUNT
50,00
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PAYMENT
i«yT Y•1t -r•s-'. ., r..:.., 1....{. r.= ...11.
07/21/89 2969
TOTAL DUE= .. TOTAL PAID=
PAYMENT AMOUNT
61,50
PERMIT ! : t ... FEE AMOUNT i•. ! ... ... ! PAID AMOUNT
OWING
MOBILE HOME PMT 61,50 61,50 ,00
61x50 50 x
..1i .00
..i 4.
PROCESSED )3'r: i {E:: i. .{: i GLORIA
,..
l e.
PRINTED BY: 4n GLORIA
J.......:. h . of Fi..r�. y• 41 '1 7. 1t• 3. �: ) •'7. ..... 1i ' . ... THANK J ... .....
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