1990, 01-16 Permit: 90000184 MH •
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information containetfin 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. Iry addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laJ's 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 st hsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local I w regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OFAPPLICATION / f
OWNER OR AGENT r*- /��7'�
' c4/) DATE (p C/
., ,,...:.:.,. NUmBEk- v0000104 DATE= j ....
- � SS 01
ISSUED PERMIT
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= 19024 E SPRAGUE
VE
ADDRESS= GREENACRES WA 990.16
PERMIT t.?,: REPLACING SINGLE E a?.D W/DOUBLE WIDE MOBILE 3••11.!ME
!•:; (.: 7 :,;::::: 00047. !•:.'}:; j ':. ADD TO i:r±';1...±::.1`+±i.:!t.:R±::.,.'..
BLOCK= 2i LOT= ZONE= AGRI DIET4=
OWNER= CUMBER, jAMES '.7P
STREET= L BRIDGLPoki AVE
SPuKANE WA 99216
• 'CONTACT NAME= JAMES CUMBER PHONE NUMBER= 509 922 4995
BUILDING SETBACKS.: FRONT- EXIS LEFT= 1..••_::•r .;., RIGHT=
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CONTRACTOR= OWNER PHONE=
SERIAL4., WIDTH= 20 LENGTH= 56 HEIGHT= 00
ITEM DESCRIPTION fRUANTITY FEE AMOUNT
INSPEciluN i100,00
STATE SURCHARGE 4 ,50
COUNTY SURCHARGE 16 ,00
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PAYMENT DATE 4'•. ::,!..:±:: .t.±.. .. f !..} i I;•r•7 { ?.:!i"i t_t:.?±'•,
01 /16/90 258 120 ,50
TOTAL DUE— , 00 TOTAL PAID= i20 , 50
PERMIT ± !±'E i" k:.±::. fel;±"4i..lt.?t'•i AMIIHNT OWINF,
MOBILE HOME PMT 120 , 50 120 „50 , 00
50 120 , 50 ,00
PRooESSED BY : JULIE SHATTO
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