1991, 06-04 Permit: 91003064 MHSPOKANE COUNTY EYEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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.
SIGNATURE OF
OWNER OR AGENT
efi4 d -Pe
PROJECT ....... .
APPLICATION
DATE
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SITE STREET= 1409
ADDRESS= GREENACRES WA
PERMIT USE= REPLACEMENT CEMENT t! ' SINGLE WIDE f i::;; i t::. HOME
M1.•
PLATO= 003502
nEA= 00000000 B;...DGS• 1
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PLAT NAME-. q
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7 wt`t L..S•t:: PORTER I E:I'',1 CLARKt>
.1 FiL.E::. i ::. 11920 +�E N.:
MA,t•' sE',.Ii
CONTACT NAME= CI...ARtt OR:
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YR/MAKE= .=11 i4F ULJ..i MODEL=... .
WIDTH= 14
ITEM EM DE:..,.1CitiIF1ILlti QUANTITY FEE AMOUNT
.:
INSPECTION FEE 50.00
STATECOU'ii is / EUSURCRO :! .'J C'J
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•R .0 •1. 70 30'10 9: �`. 1t' 1r 3E ir'Jt'k' tt •)t '14• lk 3k 9i' .'': '1'. 90 •1': ::' 9:• N.' r••S r ear i .) . � , f i i:.� . .
PAYMENT .. — ' .. R CCE _- X : / Y C 4 i'•N
06/04/91 422
TOTAL DUE= ,00 TOTAL FIYIL-
` .. ? TTYPE . • .:I•:: AMOUNT AMOUNT PAID AMOUNT ".iu.:i: a. :
MOBILE HOME t' i"S t 62.50 �' 1
67,50 62,50
JOHN 1..r•iR,`;.Oi.
z�•. :;:... __A? A:fY WE:iNDEL.., .... ...e:ii
c P. •1+. 3r 'R' •A :0 •Jl"JC •li• 30 3C •10 7t R' f* ): 'N •il' A• 3+: ii• 3l -'.k d4 '/( 30 9l 3l 1t R it THANK Y t.l I,, 'Ai •A• 1E• 1G 1t• 1k •l+i 'P''Pr Pr t+f: iG 'l"77: )t"l+i i+E' 3+i i+{ ')l 3t."}f Wk !`. 10 a,: -,i,• ;.'