1987, 09-28 Permit: 87003212 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. p�
SIGNATURE A Zyk APPLICATION
OWNER OR AGENT i .�-r✓ DATE
PROJECT NUMBER= 87003212 DATE= 09/28/87 PAGE- 01
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SITE STREET= ici . 1 , t sIi! il }••i i'+.t.::...l...•ii..... 17553-2804
ADDRESS= GREENACRES WA 99016
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PERMIT !.!:.:i....... SINGLE WIDE J.J I::. !'it.ia. :.!...i::. HOME
PLATO= 002442 PLAT N; a , # ITi , 3 • E : MOBILE
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AREA= 00000000 ,.E.., j'E ...E
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c :N..:i : .. . ... + inC :F J PHONE= . . . 924 1176
ADDRESS= SPOKANE WA 99206
CONTACT
. z= : : " " : : OWNER PHONE • ' _. l : 509-924-1176
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OWNER: .'i-, 'lE{'....
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YR/MAKE= 1985
,'iI i:`: MODEL-
SERIAL4=
WIDTH- 14 LENGTH= 60 HEIGHT=
ITEM :.;7...:.: : II' 1 ?.Orz QUANTITY FEE AmouNT
INSPECTION FEE 50,00
BUILDING SURCHARGE 3,50
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PAYMENT % - LI _'i' , f !r PAYMENT A :
09/28/87 8 3933 53, 50
................................................
TOTAL DUE= ,00 TOTAL PAID= 53 ,50
PERMIT TYPE E..!::l... AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME
PMT !: •`:i
,00
p EcEEELD fl '
;E;...N i:!E; GLORIA
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