1991, 06-20 Permit: 91003514 MH 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 "
OWNER OR GENT L/fes//ice 4°' DATE CATION �,1 _ � `9 9�
PROJECT NUMBER= 91003514
10rn -i4 irr ?iIPERMIT
" ; 'ii ;AfE = 06/20/91 PAGE=
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1
***r*aat3 i *N**rr* ;) ) i) ) ) r i) iPERMIT - N• Oti Md
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SITE STREET= ;12:.. E:: 6TH AVE PARrEL4= 24531 -3522
ADDRESS= SPOKANE I.4A 99212
PERMIT USE= SINGLE WIDE MOB:[i._E HOME -.. REPLACEMENT
PLATO= 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK=
LOT= , ?-= MES T,1 \ 1 ',
AREA= 00000000 i : :- _ WIDTH= 60 DEPTH= 127
i-'
r ;`i,;,::::
K: OF I'+L,DGS= •i :u: DWELLINGS= 1 WATER DIST =
OWNER= t,.{,jf;l± t_•. ARDIS - PHONE= 509448 ':r (..;'3�
STREET= .:i r7 1 .t E:. 35TH (•"•t til I::.
ADDRESS= SPOKANE WA 99223
CONTACT NAME= Hi?Ii I; 1::0(:i(::f...E:: E:'H(::l i`4 E:: NUMBER= ': !^},% .LS:a;'; 9739
BUILDING SETBACKS : FRONT= 30 LEFT— ,':+ R'f(:y#-I'i-:::: 5+ REAR= '-}R}•r-
4t4 i PAi k} PbAP} *Pk t k 9h! h9Fk 7k lRMOBILE EiM. Iii . ******K*******************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1903 MODEL= SUPREME
is"I4IAi...:„= WIDTH= 14 i...Ei'4G'TH:::. 66 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
1 r'SPE CT I:ON FEE::
STATE SURCHARGE `r` 4 ,50
.COUNTY SURCHARGE Y 8,00
3!•)1** •**,k)!•**)!'H'**)!' )!•***)R)1*)!.*J'N ,}'AA.' : •. N T SUMMARY fi:)t'ii)4•)t•it)t•)k)t)t'•jl''R'ji•:d-•ji•)k*)1''A:)t•)Y)i.•*it•*)l•P•*
PAYMENT DATE RE:1:E::J:PT4 PAYMENT AMOUNT
06/20/91 39e0 62,50
................................................
TOTAL DUE:::: ,00 TOTAL. PAID= 62,50
PERMIT 'T'YPE- FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 62,50 62,50 00
62,50 62,50 . !0f:r
PROCESSED
PRINTED BY : WENDEL. , GLORIA
*) , , a a !xc ! n*) x** i*n**rnnnxt***x xTHANK YOU > *) bt*$*P*.P .A. .*.. . PP $*) *) R*P *)