1987, 06-03 Permit App: 87001594 MHSPOKANE 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 DATE
OWNER OR AGENT
APPLICATION
PROJECT (4k.lM?::fl::R:::: R7001994
DATE= 06/03/87 P;'II:; :: () 1
i 9 a ; M !;pr;h PPF * bJAt"J : ! 9 1 : N : :"A 1 4 APPLICATION i * * J * :dufi Pk1.* 2 * j*iE jP3* iu* * * *
SITE
STREET= 1.8105 •. +:'SP!"vt:It.41..'!::. AVE
ADDRESS= :;:= i.,, R1:::EN!A E:;Ri sS WA 99016
PARCEL4= 18554-3311
,,
PERMIT USE— C:. .SINGLE I,r.J.i.l:i... MOBILE !..!!_i}')!::.
PLATO= 002030 PLAT NAME= PINKERTON PARK ADD
BLOCK= LOT= ZONE= AGRI DISTO=
AREA= 00000001 !- : ,.., :::: (s WIDTH= 123 '
O {... BLDGE= A a{. DWELLINGS=
OWNER= :a I::.I'i1::.S : i.1 f•Aif'',1NY
STREET= 18105 !::. SPRAGUE AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= i'iira i`''i•`( E::pE::,`.>
BUILDING
1IitIrG SlIBAi'_• FRONT= ;" _iEI_ : i : RIGHT= Ii:'i`i: 40
(:;
PHONE= 509 924 3439
P1..4(::!NE:: NUMBER=
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DEPARTMENT NAME
............................................................
COUNTY ENGINEER
REVIEW INFORMATION
REVIEW i:::1::tM'iME::t'')'TS
NE:!.$ ,L; :!U(4•T'''j l (::lA:i APPROACH
Oj.'.j)`H
60
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IN/O(.I! INITIALS
1::= N V _!: i O J i''1 i::: i'.4 • f -t i... HEALTH t4 E:: I!.i OR R I" I 1:: (i 1: T:i: I:; i t,f s:.j I... WASTE WATER ::';0xi0'.;' !•:•; i`1 I:,!
COUNTY PLANNING
ADDITIONAL DWELLING '870603 !.:r (ti!
* •jt• t,:..p..jt. ;t..jt..{t..q * :!t• * -jt Pi * * * * )t• •j=i •Ai * * * h: •jt' * il: •j}i }{. MOBILE HOME:. PERMIT 'P: h * ...jt A..p.*.jR * •it• )i• -h} )}: * !t• :!i• •P: ;ii• i=}i •jt. * * •hi * *
CONTRACTOR= OWNER
YR/MAKE= 1970 MARLETTE MODEL= 0556
,:. i::. R :E f':l i...;,..... WIDTH=12LENGTH= HEIGHT= 10
ITEM " • E: S :: R:l: R ••i • :f: Ci i'., QUANTITY !" E:: E:: AMOUNT
INSPECTION . .i 50,00
BUILDING SURCHARGE 1,50
PERMIT TYPE !::!::.!:. q::jl''i!,:fi_Ii'.!•�(� r;M!..!U".! PAID AMOUNT OWING
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