1992, 10-05 Permit: 92008416 MH ♦ S
-'l
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE /0/S-1/1---
PROJECT
0/S (Z"
SITE STREET- 72oe E 4TH AVE PARCEL0:-
ADDRESS- SPOKANE WA 992i2
PLATO- 003063
1•:'t NAME- EMPIRE HEIGHTS
BLOCK- LOT= ZONE- UR-7 DIST4
4 OF BLDGE- 0 DWELLINGS:- 1 WATER DIST -
OWNER- SCHULTZ, PARMALE17. PHONESTREET:- 7200 E 4TH AVE
CONTACT NAME= SHANNON PHITNF 'f..-flr!'4RFR=
DTNF, :7.:FT'i:iffir= : FRONT- NA LEFT- NA RIGHT= NA REAR=
CONTRACTOR- MOBILE .. ... PHONE- ._. .. 926 :*.;626
STREET= 14111 E DESMET AVE
ADDRESS- SPOKANE WA 99216
YR/MAKE- 1959 REX
SERIALO- WIDTH— 10 LENGTH= 50 HEIGHT- 00{
STATE SURCHARGE
COUNTY SURCHARGE 1 9, 00
c.::.. is,.. ,
10/05/92 0542 63 , 50
................................................
PERMIT TYPE FEE WriOUNT AMOUNT PAID AMOUNT CWING
i-UML FMI 63 ,50 , 00
PROCESSED BY : *BARRY HUSFLOEN
PRINTED BY : : nRTA