1989, 10-12 Permit: 89003491 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 REQUI REMENTS/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 Certificat= , f Occupancy shall not be construed to give a thority to violate or cancel the provisions of any state or local law regulating
construction, or as a warranty o formance with the pr visions of any state or ocal laws regulating construction.
SIGNATURE OF /' ��w� APPLICATIO► "/ a, /9f
OWNER OR AGENT `// !! IlATE
PROJECT NU1'aBEi-,,°= 89003491
DATE= 10/12/09 PAGE= 01
IggUED PERMIT
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PERMIT UEE-:: —:: ,::.E.i•'ttoe...t::. WIDE MOBILE 1t. -''i1..
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BLOCK= LOT— ZONE= t:; L:r ?"-..L .i.! .1. ,:> 1 •:...:::
AREA= 00000003 F/A= j..{ WIDTH= 80 DEPTH= t;!
OWNER= l.: i"'.t.Jt.:l{-.1::.R: Pi::.(•?1'x'.1...
,.: I r -,1...::.l.... 14016 C:. 12TH AVE
Fl7!J.?t-':1::.., ':::: i7E::.1-?f•1ili-1E...E ,i-. 99037
PHONE= 509 924 4930
CONTACT NAME-, OWNER NUMBER= 509 924 5256
BUILDING :E{1:FRONT= NA{t-.-NA RIGHT= d g REAR=
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CONTRACTOR= OWNER PHONE=
YR/MAKE= 1981
MODEL=
WIDTH= LENGTH= 56 HEIGHT= 10
ITEM DESCRIPTION QUANTITY l::•1:..E AMOUNT
.I.N,..E`E:::{.;l• .r.t.7e-1. E::'E:::E::. •i 50:.00
STATE SURCHARGE 4,50
COUNTY SURCHARGE '; 'r.i .,'1%,j
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TOTAL DUE= „00 TOTAL PAID=
T)=
PERMIT TYPE
............................................................
MOBILE E"E+:iri1::: PMT62,50
FEE AMOUNT
------------
62,50
........ r::.::r ,.:• $:. x: BY: .. L.. N . E .. E... , GLORIA
PRINTED 11 Y : SIEVE i..E L.:1 E... `r K
AMOUNT PAID
.................... .
62,50
•
MENT
62,50
62,50 ,•':
1•AIMC:i1.1N.T. c:Iw-i.Nf,
,00
62,50 ,00
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