1987, 05-14 Permit: 87001350 MH SPOKANE COUNTY DEPAR TMENT,OF BUILDING AND SAFETY
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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 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
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SIGNATURE OF APPLICATION
OWNER OR AGENT � nr-- DATE _ 1 �t
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PROJECT NUMBER= 8700135&
DATE= 05/14/87 PAGE= 01
***xnifinc i%aRaa***aa*aaaaa*a HERMIT INFORMATION i 'A _ ' *ri•)iii)i}i•YFaa)i*r•aaN•aaaaaiiaaa*aaii
SITE STREET= 4111 c WaIi..F UR Rx:)
1 F''iA)Fi I:E_L..u:::» 33544-0112
ADDRESS= SPOKANE WA 99206
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT)
PLATO= 002651 PLAT NAME::» TOMLIN ' S ADD TO CHESTER
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AREA=
Fii: t00 )0 )00 F % i: F WIDTH= 217 DEPTH= .
' 1FBi1Gi = , DWELLINGS=
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OIWiNE::R:»: JERNIGAN . SCOTT & SHIRLEY PHONE= 509 922 52?7
STREET=F.E:.E:."(=: 4111 S W1.!. BfIiFt RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= OWNER PHONE NUMBER= 509-922-5237
BUILDING SETBACKS : FRONT= 55 LEFT= 40 RIGHT= REAR=
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CONTRACTOR=ACTOIR= OWNER PHONE:::::
YR/MAKE= 8 5 N A H U A MODEL=
SERIAL:;;:::: W.LDTI"I- 24 L..E:.NG I H:»: 60 HEIGHT=I = 1 0
ITEM DE::SC;RIPTION QUANTITY I::'EE:: AMOUNT
INSPECTION IEE 2 100.00
BUILDING SURCHARGE Y 1 .50
a.... b:*sa*aaaa*aa****aaaa**)**a PAYMENT SUMMARY •)ia*****aaaaaa.aaa•}ia;!r:•ayiaa•aaa
PAYMENT DATE RECEIPTA: PAYMENT AMOUNT
05/14/87 1741 101 .50
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TOTAL_ DUE= .00 TOTAL.. PAID::» 101 .50
PERMIT 'TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 101 :.50 101 ..50 00
101 .50 101 ..`_ 0 .00
PROCESSED BY : MASC::ARDO, Go:t)C?L..F1:N
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PROJECT FINAL MISC SIGN RELOC DEMO HOME MECH PLBM BLDG
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