1988, 11-09 Permit: 88003332 MHSPOKANE COUNTY DEPARTMENT OF BUILDING 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 REOUIREMENTS/NOTICE provisions included herein and ag ree 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 APPLICATION
OWNER OR AGENT DATE
'" 1 'ICl NUMBER= 00003332
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G:F{i"i.l:'1' .Li`:! t1ltPny I .
I't11=' C1 L:: i... ll 12531..: 01 �?
,..i..3..i "Flij:::E::l':::: '':_i:!3 E.FAIRVIEW AVE
A :i70r:E.j:,>S:::: cPOKANE WA
..
PEI MIT t.l:ii::= DOUBLE WIDE MOBILE HOME
PLATt= 004139
H 1:.1
iI OF BL..:Oi:;ts::::
PLAT i1(:i'ME'::::
LOT=
: DWELLINGS=
OWNER= (:)L..:I.1'di:a: R, ._III
r!LfS.z.:SPOKANE
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CONTACT NAME= .- TM Ol._INGEj '
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Y;11) I. t. i_'.I.fi'..: alii: �l lit ACi<,_ FRONT= ::;',,
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CONTRACTOR,: I_AMi:_R
YR/MAKE=
ITEM I.)df:. F:L1 Tis_)j.1
INSPECTION FEE '
BUILDING • t.7F.C.NARGI:.:
gu DI,
la!:I:iiiI!: 1i)!, DELI iH::
PHONE= 4/ r ?,r?./ 2119
PHONE
NUMBER= 509 926 2119
LEFT= F.4...,. " : ; REAR.
MOBILE
H 1.:M1111
111'110141:1',.:
MODEL=
WIDTH= ;, i:) L_ 1=. i',! L.. , l i 00 HEIGHT= tj;ii
1:!!_1PiN1 E ! Y- F C:I.:. (MLI l_l lNT
... .. ..... 4. i(.. l:iNi1'l liiaN �T ., 0rirl Ai: Y.
PAYMENT DATE I'iL:,f.IL:... `` I y,:
'TOTAL. D!JE::':
PERM TYPE
MOBILE F'i C7ri E: PH I
. F IEE °li'1OIJNT
103:50
103.50
IED r:'t`: !.:!lii:NDEL_, GLORIA
ED BY- tdfiaii)L::I_., GLORIA
.y,, .yi -) .3 3, . !f ii- )i 31. K'-:-'A')(.7t
00 TOTAL PAID=
:I.:D::::
nrtiOI_J J..1. PAID
THAN YOU
103.50
yt.
100..00
3,50
e
PAYMENT AMOUNT
103A:0
103
AMOUN1 OWING
_00
Jr: 3k ii• 7i. ?f,.t .. 3i 3i So- ".r
11
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INSP - ID
DATE
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* * * * * * * * *
THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * w * . r * * * *
Date received for C/O processing:_ Plans pulled for final processing:
Conditions to check:
Conditions resolved:
Temporary C/O requested (y/n)
Received application:,
Approval granted:
By:
Ninety days after C/o issuance:
Certificate of Occupancy issued:
By:_
Owner/contractor called regarding the return of plans:
Flans returned:
No response from owner/contractor - plans destroyed:
Date:
Received by:
Notes: