1991, 06-27 Permit: 91003772 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
/SPOKANE, WASHINGTON 99260
(509) 456-3675
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I 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'REOUIREMENTS/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
APPLICATION
OWNER OR AGENT DATE
f::ROJE:C'r'- Nl,JMBEfc==.-9.1.003772 . ISEU i) PERMIT . DATE== 06/27/91 F
_.. .. 333 3. ...-..3.3.33 .3.3.3.3 . ... .................. ..
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EJTF SiRI:::i:i:T=: 34i `' N MC KEE ET PARC::rr_L.. {I: =- 06554-0710
AI)DRE ES=;:.1;Ri:EI: Nrl('F{ES..ILIA 990i 6 .. - . . .
Pi:::i?MIT' USE:= INSTALL 'SI:NGL E btt'T}E'i'St:jii:r.I..E HOME,
. ._.. _
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PL_r=i'r4= -000,646 PLAT NAME = :DONUJ000 -EAST'; „ - _
BLOCK=,_e.,..-. i._OT=: . JO ZONE= LJR 'R ; DIET, 1 _ _-
ARrC.t= F/(.1= WIDTH= DEE-`Tli Rtl4 60
OF BLDGE i - 4 DWELLINGS= i WATER DIST
PHONE= 5'09 994 :34•37- �
OWNER=• CLARK, JOE bj -
; TREE '4i.2 N _tMC KEE:. ST
ADDRES S= GR[ENACREE 14A 991:1
CONTACT NAME JOE CLARK ` PHONE NUMBER= 09.994"
RON
F 9-
BUILDING SETBACK F =i'= 20 L..ii:a='I=:. r RIGHT= REAR=
)dd.kEkd(iIik).or:ni,},dt(r ryidd giidkhMOBILE fl"E.FET]T r,s un *naeu
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CONTRACTOR-' OWNER • • -
YR/MAKE=-19O4 NASHLJA -. - - — MODEL== —
SE::RIAL.O::': 41:I:.1;rH== i4 LENGTH= 66. HEIGHT= } 0
ITEM DESCRI.PTJON QUANTITY FEE: AMOUNT
PHONE...
1* )k d(: d4.).;':...g..ii..i* 1; ii h: 3t
• INSPECTION FEE
_STATE- SURCHARGE
COUNTY —SURCHARGE URCHARGE: - .
50,00•
b, 50
.1' - - ) ;x,00
*3Efi i(}(i 1t$)fl")t'lt"h'1()()()()F')('T: -AY -M,_. :. b ........................ ..
r h�l T rl tJJ j 3)1.11 IMAft.7 'm at yr yr ar yr yr ar or n�vr yr ee ar di�bi�di��)f �ii��)iii��ii��)i�ii�9i�
- .•F'fir'rSE::N1 .DATE-: RECEIPT4 -
7/9i Ra242..
. . _ .. :.t. m :,^
TOTAL DUE= .00TOTAL PAIN::.,,:....�t,
r ERM1:-T TYPE:: FEE- AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME FMT 62,50 - . 62.50 .00
_ 62.,50 62,50 . )05
PROCES-SED BY: -JOHN LARSON - -
PRINTE::D BY- WENDE:L., GLORIA . .
f. y;:.*..g..-..p .i h..*..- )i it h. * * )i fir',' :. . -f. ..
T'
N li. r l.J J i'; ii # 3k k)( d6 h: k ii );)sat ri n _n..n..)p.h. q(..n.:Pt* yr..k..h. {(..x..y: q,: h.:ri.i(J
PAYMENT. AMOUNT'.
• 6 2 5i.}
4.