1989, 09-20 Permit App: 89003490 MH if
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 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 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 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
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I', C):.?::.I,..[ `'i U i', k:. .— 39003490 D A T E ....... 9 PAGE= 01
APPLICATION
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SITE STREET= 13924 i... 12TH 3••€9 k.. ` _.........._...!!._.. 23543-1909
ADDRESf= VERADAL WA 99037
PERMIT ... MOBILE i}i»t{'i{::. »?:. *D AE:. ... v ....':!"IL•i}:
PLATO= 002751 PLAT NAME= VERA
BLOCK= 173 LOT= ZONE= AGRI DISTO= 1:7
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STREET= {12TH:oR :::: i::. :ADE€i...E. !;.jrti 9903'7
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DEPARTMENT NAME -€ YI '^ COMMENTS r+ - ! INITIALS
BUILDING f :A: L ..I i SETBACK t€ tLEhREQUIRED 890920 €A<
AS .. sr - vx/2089 9.qj1
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CONTRA
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YR/MAKE= 1955 MODEL=i•;•
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INSPECTION FEE
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8,00
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