1987, 10-26 Permit: 87003634 MH SPOKANE COUNTY DEPARTF1ENT,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 pr. .ions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION /Q Z /c7
OWNER OR AGENT I �� DATE /
PROJECT NUMBER:::: 87003634 DIATE:::: 10/26/87 PAaF:::: 01
ISSUED PERMIT
•N.ri if**ik: )(•:yi:M.:..:,t..ri*ri••;E•;(••:K** 7{ik H*•H••iS* p E R N.E T :I:N F (.)Ft m r•••T ..t. N **3()(*)(............:* '............................
sI:•T•Ehq
ADDRESS=
18720 E ti,itLI...EYIWIAY PARC::EI...:;:::: 1 «r55; .....>,� 05
�.. . A.DDRE:.SS= GRE:.I::.Nr••'t(..ht I::.S WA 99016
PERMIT USE= DOUBLE I I()I::: MOBILE HOME
I"'I...A'T•:II::::: 002442 PLAT NAME= SCIUTHERN ' s MOBILE F'r:d:d< ADD
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BLOCK= 2 LOT= ": ZONE= E't�IF•I T;:{: '"!'„:= ix
AREA= 00000000 i-.`A::- I::• WIDTH= t�E l...iI..I::: kfli:::: 5t:
..5 1
'ii' OF S.L..... _7 4:«.. ! tl' DWELLINGS=
OWNER= FARLEY, CALVIN PHONE=
STREET= I' (1 k:f Il x; 152
ADDRESS= LOPEZ WA 98261
CONTACT NAISIE:::::: CALVIN i'•ARLEY PHONE:: NUMBER=
BUILDING SETBACKS :( I S : FRON.T•:::: I...I:::E'••1_:= RIGHT= RI:iiR::::
*}f•h:k*•u*.t{....;r.••p•••;t••)r 7,:a;.•;t fi k:***•)E t(••;r•;r..•7t•;E.•k N(:1 Ft T I...E HOME f'E R N I«I •P)k it..p.. .jt***.;I*Ji*•k)k•;i 5(•H:•A:;t*.jj.**.;f•..1f
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1987 CHAMPION tMODE:.L::::
SERIAL4= WIDTH=I••I:::: .:j8 I...EN(x..1I..I:::: 40 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FEE 2 100„00
...
BJ:I:ID:I: jr SURCHARGE r, ti5::
k•*u.•;i**.x*.x..xi.3;.:n:](••**.*.i()(..}(.....h:*..)( •t Ii)r:•;k I::'f 1 Y NI I::.N i S U P i M A P'( )E*i,:.;(.•;(.**•hi•k•)i*)t•*.11*•)(•M••n:•)(..i(.**.}(.*i(•*•h:*
PAYMENT DATE RECE:I:I::T:IIS PAYMENT AMOUN1.
10/26/87 .:f662 103„50
TOTAL I AL. DUE- .00 TOTAL PAID= 103,50
PERMIT TYPE FEL AMOUNT AMOUNT Pi"tIL:, AMOUNT OWING
---
MOBILE HOME. PMT
103„50 103,50 .:00
103,50 10%.. 50 „00
PROCESSED BY : IWIENDEL., GI...OR:i:A
PRINTED BY : WEiNDEE.., GLORIA
*y,..•p..P fit..........•....... •U:......•;(•fr:*..*•X••*•k. •P:*1()(•..(• THANK Y C:U ..............ti*7i•)k 1':]i•3(•**..*3i)C.:!{••)k•;iii•)(•. •)t•;t*.a(..j,;.j,..ti
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