1987, 10-05 Permit: 87003337 MH ' � T
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 o :cc•i.ancy 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 ith e provisions of any
state or local laws regulating construction.
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OWNEROR SIGNATURE OFAPPLICATION
J�'�e��1f1 �`JC�, DATEICATION ' _`T)
PROJECT NUMBER= 87003337 DATE= 10/05/87 PAGE— 01
Tuf k! : , Arst ? ) J : r : , J :: : * ti „ RPERMIT . + : A ? : _ t k J } [ [ [ i c [: {} : l } [ya : l : [.
• J 1 ::+ ! !:I::.1::. ! .... 18804 ?::. tt i..!i...±...?::.}•tl,I i••i i PARC!.:.!....,l..... 175:53-2.;3-•_' !'
:
ES WA 990-16
PERMIT USE= D_?O1..! iLE WIDE ?'?i.?.?.:1.i.i...i::. HOME
,::} i .!,._.. 00:.::442 PLAT NAME= ._' (i"IL.f:NMOBILE
BLOCK= ' ?...t.!T { ZONE=1 t•t !"? !.J.?.,:: ! •a....• f:r
AREA= 00000000 F:'/ ;:::: ,• WIDTH= DEPTH= :::'ixl:::: 50
:
OWNER= WARD , K'Tt::'4tE:,, PHONE= 509
92 • 9 :
STREET= 21 N HARMONY RD
ADDRESS= GREENACRES WA 99016
CONTACT NAME= STEVEN WARD PHONE NUM B E:R 509-9::26-2 I '.;"0
BUILDING =:•i::. ! {:{F•!?..:?'_.,::• FRONT= e....::.:...±•.... RIGHT= REAR=
***************************4-K* MOBILE HOME PERMIT 7 t j ; j } ;. 5¢ ii E l iLt i> (! iiI
CONTRACTOR= OWNER PHONE=
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t4':.:•_•i•;:i }(..... !!:1:;.j-1'!"i::� ;28 i...i.i`!1? 3 1•'i:::: .:.4 2 i HEIGHT= 10
ITEM :' i:; i ± ! ( iN QUANIIIY FEL AMUUNI
i N S i-'?-:.t..- 1 .i.I+N F.i::.l» 2 100,00
BUILDING SURCHARGE 3,50
************** **4************* - : NENT SUMMARY :4•:!t•**7t•:!i:•1!:•+t'•}!:=!i'S- i:!L'*1;•;I iRt[it'li'9v:I!;•j!;7(•:Ih•JL••1t••ff
PAYMENT DATE f`:'»[.:i::..!.?'' i ,!i• PAYMENT AMOUNT
5 103,50 ii..i•s 5 s':i
TOTAL DUE::. , 00 TOTAL PAID= f
PERMIT TY '! ifE AMOUNT tM_ _N ! PAID (`if-1?..!1..!NI OWING
MOBIL...:::: I-10 -!P PMT 103 50 103,50 ,00
103,50 103 „50
PROCESSED : 14 WENDEL, GLORIA
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