1987, 06-03 Permit: 87001594 MH•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 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
OWNER OR AGENT
APPLICATION
DATE
6
O",
P Ri..!,JE:::(:' i NUMBER= E«R= 8.., j.j1 ::z
DATE= 06/03/87 PAl:ri::::::. 01
Pg..q*f P !jj* pjtjN**uE *N�_. 1 N oRt^
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J. ESTREET- :8105
L. 1SPRAGUE t•! v E: E:' �•! F !..: E.:. {...:n::::: 18554-3311
ADDRESS= •• �a{1 i::.ENAI..:I".I::.,.. I,,I(::} 99016
PERMIT t..1, :E::-:: SINGLE WIDE MOBILE HOME
.. 0.:::03PLAT NAME= 1''..t` K ::.'i I lJi`. I-'(::l'til', A..,
BLOCK= LOT= ZONE= AGRI DIST4=
AREA= itf0_f01 _ ; ( c A WIDTH= 123 ! T" ....' l
:
+
OF BLDG,::::: 4 t !;WFI...E...1:t4it,..... 2
OWNER= 1::.RL. S : I` I1 •INN 'i
STREET= 18105 t: SPRAGUE AVE
ADDRESS= GREENACRES WA 99016
509
CONTACT NAME= trlr= NN'f E::RE:. s PHONE: NUMBER,,
BUILDING ' E::.T. k: r°. C:: K S : FRONT= 250 • 0 L..E..:I=.(.:::: 12 RIGHT= REAR=
0
ji. * •Ar * * * * .+: i++: A .t: •Ai * •N• * * .!• * H .+: •Pi * ...p.. k....j * •H• •h} MOBILE 140 M E::. F E:. E"; M .1. 1 toi •j' * * * * * * * 3:• 3 .. h. * 3(3(..Fi . Pi •Pi * iur )i..jl..y}..j;.
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1970 M !l:.L..E •i (E:: M(:1I?EE...= 0556
6
SERIAL= WIDTH= 12 LENGTH= 60 HEIGHT= t1"l ::: 1 r t
T..i' E::: i'i T E:: ,::` E_° 1: F' ..( :I: f:l i`4
1: i''? :: F: E (:; T 1: Cl i •i. j: E:: E::
BUILDING SURCHARGE
QUANTITY FEE AMOUNT
1 50.00
1,50
.. .. .. .. .. .. ..! ! Y tt, }s js. P.}+.!; !t !+. A. P. j4A U. P. k.4 )t. !t, !{ :.. :. .: .. .. ..
. � F9 i t`' ::. i`'- I ,. l t'i i'9 i-! i'ti '( 'j+i.4•.t• •bi a•.0 •)ti iu} •u; .f iui .+} •jt• jt} �:• iUi i•+i.[•.+i .[• •j+i 'Pi •P:• •Pi �N: i4• •P: *
PAYMENT' DATE i::;E::I E::: i F: i :;;: PAYMENT AMOUNT
06/03/87 2034 51,50
..(.i:rrr`il... I)(.11::::: TOTAL i='r"i:iri:::: 51,50
PERMIT TYPE
---------------
ri(:1B:I:L..I..: E'Ii:]ME: F''i.T.
FEE AMOUNT
51,50 1,50
....................................................
51„50
PROCESSED BY: LlENcjEL.., i.:;L..(:1R:1A
AMC1I..JNT• PAID AMOUNT (:)UJ1:t4c;
-------------
`_ 1 .,50 .00
51,50 ,00
i ( i i i(: N :aR A.}*U d(hi4A}n4ia..b.qTHANK Y
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