1987, 03-23 Permit: 87000700 MH •
SPOKANE COUNTY DEPARTMENT oit 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 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER== 87000700
DATE= 03/23/87 PAGE=:: Oi
****•• *•********************* PERMIT INFORMATION ***********************if•3h**
SITE STREET= 7019 E 6TH AVE PARCEL=: 24531 -2817
ADDRESS= SPOKANE WA 99212
PERMIT USE=:: SINGLE WIDE MOBILE HOME (REPLACEMENT)
PLAT'= 000735 PLAT NAME== EMPIRE HEIGHTS ADI)
BLOCK= 4 LOT= 37 ZONE= RMH DI STO= F:
AREA= 00000000 F/A= r- WIDTH:=: 60 DEPTH= 1 :27 R/W= 30
OF BLDG`'- DWELL INGS=:: i
OWNER= BERI_.AND, CONNIE PHONE= 509 928 6853
STREET= 11920 E MANSFIELD AVE 29
AD.DRESS:::.. SPOKANE WA 99206
CONTACT NAME=:: OWNER PHONE NUMBER= 509-928-6853
BUILDING SETBACKS : FRONT=: 25 LEFT= RIGHT= 10 REAR== 30
xaex•x*******•*****ttx•****** ***** MOBILE. HOME:: PERMIT *****•***x•********ai*• x•*•****
CONTRACTOR= OWNER PHONE=
YR/MAKE:: MODEL=
SE RIAI...t-•: WIDTH= 14 LENGTH= 70 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 1 50.00
BUILDING SURCHARGE Y i .50
**3i*3t•******•*•**•*** 3**r•*3t3t****3r* PAYMENT SUMMARY *****xx3(3(3[***3t••tt••tt•**•ttx**•kx•3i3i3i*
PAYMENT DATE RECEIPT u: PAYMENT AMOUNT
03/23/87 979 51 .50
------------
TOTAL.. DUE=:: .00 TOTAL PAID= 51 50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME:: PMT 51 .50 51 .50 •00
5 i 50 51 .50 .00
p N 3E 3t 3{•3t•*3E 7f•A 3E 3[3{•***]E*3i•it•*3f•*3f•*3t•at 3i•}i 3£•3i•3t• THANK. YOU . 3?•3k 3E 3i:3k 3t•3t 3i ri 3E 3(***••ii 3[i':***H•3t•*3E*FE**3i•?i•h:
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