1991, 08-23 Permit: 91004595 Relocate ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 13173 atm/swim AVENUE
SPOKANCWASH1NGTON 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 addWon, 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91004595
ISSUED PERMIT DATE::=:: 08/23/9i PAGE= 01
"._
i('Pi Jr iE9HHe'){'yi'di'i('di'i('d4')E'n")i'it'le it 3('34 iHr'1i)E'1(•�)4 PERMIT INFORMATION t. R 3***3E'h'333. 3e 3e de dr dE 363s 3{iq 34 {: 3r ii 9r 3r. r, r. ar rir
SITE STREET== .13703 E:: STH AVE:: PARCEI...v:=:: 2.1.541--9110
ADDRESS= SPOKANE WA 99206
PERMIT USE=: RELOCATE HOUSE
PLATO= 001 669 PLAT NAME::
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
PROJECT NUMBER== 95004595 ISSUED PERMIT
*3E*x3E3e*.x*-***4*di4i-3E3i3E3E3Eii3i3E*4#3E#3E*3E
PAYMENT DATE::
08/23/91
TOTAL DUE=
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
RELOCATION PRMT
PAYMENT SUMMARY
RECEIPT;
5985
.00 TOTAL. PAID=
FEE AMOUNT
17.9.78
13.000
42400
50.00
2..34. f8
PROCESSED BY; JOHN LARSON
PRINTED BY: JOHN LARSON
3E3E3E3E*3E.k443E***30..4.3E3E3E3***4..h. 3E.k.3E.lE.)t.4***.H.
DATE= 08/23/91 PAGE= 07
E30*3E3E304# 3E3E3E3E#3E.4.3E.E#3Ek**#3E3E#
PAYMENT AMOUNT
8
234,70
AMOUNT PAID AMOUNT OWING
129,78
13.00
42.00
50.00
234.78
.4. THANK YOU 3E3i..4.3E.Ai3E3E43E3i 3c
0444 A. 4 4
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400
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.00
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