1987, 09-04 Permit: 87002906 MHi
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
4
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 INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of Taws and
ordinances governing this type of work ' be complied with whether specified herein or not. I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates of Occupancy not be constr J to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance wit.;wi of any state � al laws regulating construction.
SIGNATURE OF
OWNER OR AGEN
PROJECT NUMBER= 87002906
APPLICATION 4_
87
DATE= 09/04/87 PAGE= 01
*•*•*•**********x***34*******,*** PERMIT INFORMATION ****************************
SITE STREET= 17209 E` 5TH AVE PARCELw= 19552-1611
ADDRESS= GREENACRES•WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT)
PLAT*= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND AI)D.
BLOCK= 1 LOT= 11 ZONE= RMH DIST;= G
AREA= 00000000 F/A= F WIDTH= 71 DEPTH= 125 R/W= 50
4 OF BLDG'S= 1 4 DWELLINGS= 1
OWNER= DOYLE, RODNEY E
STREET= 17209 E 5TH AVE.
ADDRESS= GREENACRES WA 99016
'HONE= 509 926 6097
CONTACT NAME= OWNER PHONE NUMBER= 509-926-6097
BUILDING SETBACKS: FRONT= 25 LEFT= RIGHT= 5 REAR=
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 79 BUDDY MODEL=
SERIAL*= WIDTH= 24 LENGTH= 60 HEIGHT= 1.0
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE. 2 100.00
BUILDING SURCHARGE Y 3.50
******************************,* PAYMENT SUMMARY ****************fF***********
PAYMENT DATE RECEIPT* •PAYMENT AMOUNT
09/04/87 3584 103.50
TOTAL DUE= .00 TOTAL PAID== 103.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 103,50 103.50 .00
103.50 103.50 .00
PROCESSED BY: MASCARDO, GODOLFIN
******************************** THANK YOL1 ************n **************ie****
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