1990, 09-18 Permit: 90004663 MH vssommourowsw
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 comp) 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 t.-•ssuanc- is permit/...lication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca - r e prov'.ion of any s -. local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructi.
SIGNATURE OF APPLICATION Q
OWNER OR AGENT / / / DATE 7 /C/ `7
DATE= 09/10/90
IEEUED PERMIT
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EITE ETREET= 9921 E 9TH AVE A RC::
sa?.:i}.}Yid::.:. ,-:::: EPOKANE WA :
HERM.H USE= ... . ... MOBILE
ej.,jl. �..t i• HOME
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ADDRESS- SPOVANF 9,P21
CONTACT
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CONTRACTOR- OWNER
YRSMAKE- 1977 GM DENSTATE MOD E. =
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AMOUNI
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STATE SURCHARGE
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09/10/90 55R1 120 ,70
TOTAL DUE= , 00 TCTAL PAID- 120 ,50
PERMIT TYPE EEE Ot1N , ;..,'. iJ i PAID AMOUNT
OWING
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MOBILE HOME PMT 120,50 .120, 50
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120, 50 r
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