1987, 12-09 Permit: 87004160 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 an tate or local laws regulating construction.
SIGNATURE OF r/ / ��� Q,� APPLICATION /�
OWNER OR AGENT l " �.0,i�—Wr DATE ! 9-
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ISSUED PERMIT
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SITE
STREET= 925
WILLAMETTE - • {qt{'e#-: .., !t..... 23533...3201.
ADDRESS= SPOKANE WA 99212
PERMIT USE= DOUBLE WIDE MOBILE HOME
- , . . 003533 PLAT ( l" -" l' : • : GROVE
'P L'i'Y'.N.._.
BLOCK= •' LOT= ZONE= i..J t',!I'•. :i.j ! .a...-
AREA= 00000000 _ ": - WIDTH= i : DEPTH= 116 "ii : : 3
.li. OF .ii.
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OWNER=
BENSON,
BRUCE
.. ....
#..)?!�I��{:�I• :::: t•rl::#`�,.4#..�#�; 1::#I;t.st.:i:. PHONE= _:4: : r•{..:F'' _`r :j
STREET= 1828 1.4 R;:VIERS:I::jE:: A V ?t'
ADDRESS= SPOKANE WA 99201
C«. NAME= CONTRACTOR PHONE NUMBER= 509 927 0694
BUILDING
UI, D. ' " S-Tl =C ;: • FRONT= 0: : : LEFT= RIGHT=. . . , : . REAR= 0065
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: : : : :
CONTRACTOR= tE iI : { t ) CONSTRUCTION
{ ONST r , «« : # 000 000 : 0 ;0
STREET= BO.: 14977
ADDRESS= P#K ANI:. WA 99214
YR/MAKE= MODEL=
=
SEP, t . WIDTH= LENGTH= 44 HEIGHT= 10
ITEM - S ,- R } PT { _ . QUANTITY
3NtY .' ! AMOUNT
100,00
-----
INSPECTION {=E:: 2
BUILDING SURCHARGE ':' 3,50
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PAYMENT DATE# I::. I'i i::.l.:#::..#.I ! •c• .
1
2/09/8"? 5025 103,.50
TOTAL DUE= .,?:!?„S TOTAL! At... #”AIi}.... { c 3 r.5
PERMIT IY{ iI : AMOUNT AMOUNT « a1 : AMOUNT ! W= . iMOBILE #., t..'.M T 103...50 ' 0•`} ••5!:j
•
103 ,50 103,.50
PROCESSED BY : MASCARDO, GODOLFIN
PRINTED BY : FORRY, •.i•-!-;:-
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