1987, 10-08 Permit: 87003356 MHSPOKANE COUNTY DEPARTMENT Or BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT
,ECT !-.]i !M.-: ER 87003356
APPLICATION /c.,
DATE
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SITE STREET= EVERGREEN RD
ADDRESS= SPOKANE WA 99216
PARCELt= 35643-0314
:.Ta=...... ::028 PLAT
NAME- WEST FARMS IRRIGATION I I , i�1 f`7••i.
AREA=00000000 •' , WIDTH= 95 DEPTH= .ii0 R/W=
OWNER= HELMS, PAUL & MELINDA
STREET= P 0 BOX 142
ADDRESS= COLBERT WA 99005
PHONE= 509 926 2852
CONTACT NAME= OWNER PHONE NUMBER— 509 926 28'52
REAR=BUILDING SETBACKS: FRONT= 45 LEFi= 14 RI;HT= 14
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CONTRACTOR= OWNER PHONE=
YR/MAKE= 73 GREAT
ITEM DESCRIPTION
BUILDING SURCHARGE
MODEL=
WIDTH= :..LENGTH— 66 HEIGHT= 10
QUANTITY FEE AMOUNT
1 50,00
3,50
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/08/874125 .,!,..
................................................
TOTAL
:v:5... PAID=
DUE= '..: ...E 53,50
PERMIT vl..-;;e,E FEE AMOUNT AMOUNT PAID AMOUNT I t•
MOBILE H... M PMT 53,50
0
,00
53,50 53,50 .00
PRINTED BY: FORRY,
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