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1990, 05-14 Permit: 90002046 MH SPOKANE COUNTY nEPARTMENT 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 contained in 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. 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/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or canc-I the pr/visions of ny st or local law regulating construction,oras a warranty of conformance with the provisions of any state or local laws regulating construction,1 SIGNATURE OF i/I b/ APPLICATION OWNER OR AGENT DATE .. q ?••=?•=_1 I.tt^1..: 1 NUMBI;::R= 9St�:002.04,? a.x.. .V y::!. ...ct`• •,:t PAC.,. •:t'! *****H******************* ** EERMIT '::'Li c:, * .:r.:j.: !.:!j..r:!r.:M* t.:!}.a;'.s;::;t:r.* }::,.•* ry t••U,f?'.?!(•± ? .?.t•,�t`d R•1k 4;•�•..-.rt 9r;r)t!.t. r.r...)...!.r.r. :.:..t/...!. ... !. SITE STREET= 4111 ,, ?e? i i U Ft. RD 1^`ri!i•t. •i'I :'•„+:-.. 33544-011 ADDREE= • •-"t..tt', ar_ WA 9:+206 PERMIT U I 1.:.:::: SINGLE WIDE i'•5c:t:: .I.I._I:', HOME .... REPLACEMENT PLAT.,;..... 002651 PLAT NAME= ? OMI. I+ j+,x ADD ! O CHESTER Sf f ER BLOCK= LOT= S..1.7?��:�.".. F'i�•7 I•'j.�. .??J f\ •,,•__ AREA=(.:t:::: WIDTH= 21 : DEPTH= Ci r 1i 1,.1:::: OWNER_:::. i::- •;f.,t : ; i':? ANDERSON PHONE= 509 922 3365 STREET= .i :I .I W.I.I._iIi.1 t RD ADDRESS= SPOKANE W(. 99206 CONTACT NAME= I..1ARi_I1...D.% ,.f I.•i:t;j v IF is PHONE H i.� ?` ?' !:11, '.:i`,':.;1::?;:.::: ,...:•.:•i 922 7.365 BUILDING SETBACKS : FRONT= E:.I-.,. ..F.:• ._ E. .j, RIGHT= . REAR= , LEFT= 4+:;t•*:k**•P:P:K ** '•****f{..pi**•Pi;n* .Pi:ri..j+..1;.* MOBILE t m t ' ************************4.. CONTRACTOR= OWNER PHONE= - YR/MAKE= 1974 CAMERON MODEI • 'ITEM EM DESCRIP tIi tN QUANTITY FEE AMOUN.... INSPECTION FEE 50.00 '':"••7 ATE S1_IRl.:I••I#`:Ri..vI::. '! '_f ,.':iiii COUNTY SURCHARGE ,00 .j .. ...!..Pjp:. k*; **atyy *: ru.ra . ; i : . ra iPAYMENT .} rrn: : ! : : :rr r? rKas * t kr; rr *a r PAYMENT i: :N , AT _ , : , ' IIfl PAYMENT A' ?tNT 05 1'I 90 7.. 62.50 • TOTAL t AL f+UE:::: 00 TOTAL PAID= 62.. 50 AMOUNTPERMIT TYPE FEE OU.�? PAID AMOUNT OWING • .. :t::' 5 ?'?�.�{:.#.?. ?::. ?"lit#'?!... I"';? ? }.c...::'7;;I 62. 50 00 62..50 62..50 ..00 PROCESSED E,.',x,>!. D ?:� T t ?:..{,i,_EL..; GLORIA PRINTED BY : WEND,).. GLORIA {: : 9 R ¢ii r Ar ? 'i! i: Ci i k: { i ^ a :Pr tt THANK you X X AAr PAr APr r r R k r Atk r PP r t i !t : t G 4 t