1987, 03-16 Permit: 87000607 MH SPOKANE COUNTY DEPARTMENT OF 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-Fri-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 3_ ^ eOWNER OR AGENT DATE 7
C3 /
PIK t1.iF I'T W lM FFt w R7000607
DATE= t}:� 9 Alf% 7 PAGE= 01
**************************** PERMIT INFORMATION ****************************
PARCEL NUMBER= 19552-1809
SITE STREET== 17315 E 6TH AVE::
ADDRESS= i;REENAC:RES WA 9901 6
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT4= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
BLOCK== 3 LOT= 9 ZONE= FRH D:F.ST4= S
((y A[3E •= 00 00000 x+ yF,"�(LA = F (WIDTH= 95 DEPTH= 82 R/W= 50
OWNER= LEHMAN, JOHN & KIM PHONE=:: 509 466 6884
STREET= 17315 E 6TH AVE
ADDRESS= GRE::ENACRES WA 9901 6
CONTACT NAME== OWNER PHONE NUMBER== 509-466-6884
BUILDING SETBACKS : FRONT= :30 LEFT= 55 RICHT- 15 REAR= 27
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR== OWNER PHONE=::
YR/MAKE== MODEL=
SERIAL..4=: WIDTH= 24 LENGTH= 44 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
BUILDING SURCHARGE Y 1 .50
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
03/16/87 845 101 .50
TOTAL DUE= .00 TOTAL PAID= 101 .50
****************************** END OF REPORT *******************************
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