1990, 07-13 Permit: 90003266 MH SPOKANE COUNTY DEPARTMENT 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 violateor cancel the provisions of any state or loc.I law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. , �J
SIGNATURE OF / eifOr APPLICATION
OWNER OR AGENT DATE ` J
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ADDRESS= SPOKANE WA 99206
i::,H#•ri-i- # {„i s#::-»:: ::• #::. u i,i-i-%I:_ MOBILE HOME
LOT= i ZONE= (•4:,:r::•t,-J B .t i.:. t -.......
WIDTH= DEPTH= 1S5 R/W=
•tt- OF 1.,i. ;,ta,.}.-.. •:,• DWELLINGS= A
OWNER= I,.,i f t,:#,.#I::.f'`y.:} t t #::. K PHONE= 509 'T,•.' , •',r t,•I`_v,i.
STREET= 602 ,i, WOODRUFF RD
ADDREES= SPOKANE WA 99206
.. ..... i !•t!.: i #=i{-!i9i::.== TYE s' ,..: ,; PHONE NUMBER= 509 927 9094
BUILDING SETBACKS : FRONT=: . LEFT=: _ : RIGHT=
: '# 0 REAR= _.r..
•Hr*'tt!r*iii P:'*•:i 4 i C:i*r-Ni: *',r-P.-'*•Pr*'li.Ri•Pr** $iii** 4i c t i i i t ,,, HoME;to • , Rl Y .. ..*j!•:A•i4•**:i>.
,. , M?O:OEL::::
WIDTH= 14 LENGTH= 70 HEIGHT= 10
ITEM DEECRIPTTON QUANTITY AMOUNT
INSPECTION FEE 50, 00
2 , 00
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PAYMENT DATE RECEIPT0 PAYMENT
AMOUNT
TOTAL PAT... - 62.50
FEE AMOUNT Am#ENT PA]: , r:?j"ii..•iE IN,. „•,#,•• :e%
....... .: ... .. 62, 50 :.iii
a : : ah j*gi : :*aA RE: rypjia *: Rj* }: THANK t jA } i: j j: * ¢; F $ i Rt j
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