1987, 10-26 Permit: 87003625 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND -SAFETY
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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 typept work will be complied with whether specified herein or not. 1 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 4
PROJECT NUMBER== 87003625 DATE= 10/26/87 PAGE-: 01
ISSUED PERMIT
3i.ar.x..** Mex-xx-x-4E*-$:$ f -a***-*-* ***x F'EI IT INFORMATION •*******i.u********aEa(..X*ae.x.....x.;e*.*
SITE S'T'REET= 19220 E MARIETTA AVE: PARCEL_t= 08552-1207
'.07
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= BOODLE WIDE. MOBILE HOME -- REPLACEMENT
PLATO= 000146 PLAT NAME= BARKER ROAD MOBILE HOMES 1ST A
•BLOCK=: ii ' LCT: 7 LONE== RMH DISTO= 6 •
' AREA= 00000000 J -/A= 1= WIDTH=: ' '70 DEPTH:::: 117 R/W::= 50
.0 OF BL..DGS_. . i 0 DWELLINGS= 1
OWNER= STUI...'T'L, FREDERICK
STREET= 19220 F. MARIETTA AVE
ADDRESS= OTIS ORCHARDS WA 99027
PHONE=: 509 9:28 4624
/
CONTACT NAME= OWNER PHONE NUMBEFR=
BUILDING SETBACKS: FRONT== 25 LEFT= RIGHT= 5 REAR= 35
*****************************. MOBILE HOME PERMIT ***.****..tt.*.tt..******.*
CONTRACTOR = OWNER
YR/ iiAKE::=::
SI:::I::I:AI...:ll::::: 1987 I:BI: RKSIi:LI E
ITEM DESCRIPTION
INSPECTION FEE'
BUILDING SURCHARGE
MODC_L==
WIDTH:::: 28 LENGTH. s6 HEIGHT= i 0
QUANTITY FEE AMOUNT
100.00
Y 3.50
******************************* PAYMENT SLJMMARY artt.....**** ( ..tt.�..�..x
PAYMENT DATE RECEIPT. PAYMENT AMOUNT
10/26/87 4398 103.50
TOTAL DUE= .00 TOTAL PAID= 103.50
PERMIT TYPE — FEE AMOUNT . AMOUNT PAID AMOUNT OWING ,
MOBILE HOME PMT 103.50 103.50 00
103,50 103.50 .00
S'ROC;ESS'I:_D 13Y: Ft7RRY, JEFF
PRINTED BY: WENDE::L., GLORIA
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INSP - ID
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