1987, 09-30 Permit: 87003219 MH '0. 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 wi • •- •rovisions of an state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGEN DATE
f' i,l.:•_!E...t.. ! NUMBER= 87003219 ...A i l::.:::: 09/30/87
PAGE= 01
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...OKANE t.!:': 99211
PERMIT ;i,:k:..... /.:i.J?I P E...E::. WIDE MOBILE HOi":::.
PLATt= 002757 PLAT NAME= VERA
AREA= . . : _ I. qqt : := WIDTH=
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OWNER= p E .c: ? PHONE= 509 924 0444
sTREEi = 4 (21 L.. VAHEYWAY AVE
ADDHL = SFUKANE WA 99214
CONTACT NAME= D ':" DIRE PHONE E'.E..1 m S:'..... . 509—t2 -0444
BUILDING SETBACKE : FRONT= LEFI = RIGHT=L. REAR=
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CONTRACTOR= OWNER i'•. ..,.:'..
YR/MAKE= MODEL=
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,:r?...�'..I.I•�S t...yl..... ::.::.1.: :,.... 2a ! E.•..., 'r{:' HEIGHT= 10
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ITEM t.. ::• 4-� i•.t F: ! E O;`+1 QUANTITY ?..E!:.. AMOUNT
.E...t,_.,F i:: , .i FEE
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, ......E �,?_:!':; ... ..j 1 100,00
BUILDING EURCHARGE
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PAYMENT DATE REUEIFIO FAYmENT AMOUNT
09/30/07 3968 103, 50
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I.. DUE= 0 i s E ..! '..t a !"1 i... PAID=
PERMIT, ..(.,Y P.. E..E t: AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 103,50 ,00
PROCEESED BY : WENDEL, GLORIA
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