1991, 07-30 Permit: 91004611 MH Ammimmilimmw
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
1W. 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 cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. Q 1)(11/hP.,
SIGNATURE OF J, APPLICATION 7OWNER OR AGENT .(�ifii atCC}L— DATE
PROJECT 9100461-1 ISSUED PERMIT DATP= 07/30/91 .
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ADDRESS= SPOKANE --
I''E+':I"I..I. ( 'USE- SINGLE„' WIDE Mf I i•' HOME- REPLACEMENT
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BLOCK-I{.!':- I tjT ±itv li•,. `•? :;;:::.
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OWNER= t:!t!.,, f.:i V,Y: RYAN PHONE=I I I:c 1:! .. " 536 0604
STREET= 5007 E
ADDRESS,,, SPOKANE- WA 99212
CONTACT NAME- RYAN
. TiDUNLAVY PHONENUMBER- ..
36 0664
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TRANSPORT PHONE= 509 922 1020
STREET= 12624... MAIN AVE
ADDRESS- SPOKANE WA 792.16
ITEM DESCRIPTION QUANTITY FEE AMOUNT
i.+''•i is I''k:.t:: + .+.i i v FEE+.
t: i-(-1•i-+:: i)1::?i +..lf.`.}1"4).Yf::. �•S :.
50
COUNTY, . '..+}•:I..,t•i S-i+•t;l-yl-. 2-00
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PAYMENT DATF REoEIPT4 PAYMENT AMOUNT
5162
. TOTAL DUE=. J.A. TOTAL PAID- 62 ,50
PERMIT sYI"I::. FEE E .II ti I AMOUNT i, : 4 .
OWING
MOBILE f .i t.:
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62,50 ,00
4 ,
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PRINTED BY.: WENPEL,
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