1989, 10-04 Permit: 89003706 MH 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 agentto compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto complywith 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 Occu ncy 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 conform e with the provisions of any state or local laws regulating construction. 9
SIGNATURE OF APPLICATION /0�7 /
OWNER OR AGENT HATE 6
E''t''..I:+E::C E NUMBER= 89003706 .. Fl 10/04/89 h`AG . 01
ISSUED PERMIT
3i.)i.3i.)i..)4 P•34 34)i•:4.14:n:.lk 3i•3i•P•34:4.3i•)i•34 34 34 3i. .3y..u. PERMIT .P • _ , FT. 1Pi *? annh4) 3iv**naa4**
w. . a *x. x
SITE ,EfREE:. f•=:: 10017 E 15TH AVE PARCEL-11= 20544-2 813
-:
ADDRESS= SPOKANE WA 9920
PERMIT U:>'E:.:::: DOUBLE WIDEN riOBIi...E HOME
n 002704 PLAT NAME= iNIvERilr PLACE
BLOCK= LOT= ZONE=E= Ac;.:,t.JX 4,.=
I'/A= f WIDTH= 50 DEPTH= 150 ,... :,.
OWNER= 9i:ii...l...t"AN , CAROL L. PHOiNI::::::: 509 924 4469
STREET= 10017 I::: 15TH A 'i::.
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JIM SELLS PHONE: NUMBER= 509 9:. : ...,...
F,U:EE._o:rNC ,'' ET•I:,tS;l::`•K:S : FRONT::_ 35 I...EFT'= 5 R:rGLii•::: 15 REAR= 92
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CONTRACTOR=TRAC;TOR=:: OWNE:F' ?'i.111NE=:=::
YR/MAKE= MODEL=
'''EF 1:r`II...:::::: WIDTH= 00 LENGTH= 0 is
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE ;:' 100,.00
STATE i E kURCHARGE-. Y 4.50
COUNTY St.JRC:HAE1ITE::. 16 .00
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PAYMENT DATE RECEIPT : PAYMENT AMOUNT
10/04/S9 4686 120. 50
TOTAL t AL 1_,UEr.:::: .00 TOTAL. PAID= 'r t: 0,5i}
PERMIT TYPE FT!::: AMOUNT AMOUNT PAID AMOUNT ixr
tt
MOB:I:E...E:: HOME PMT 120.50 120,50 ..00
120 .50 .120,50 ,00
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?I: PROJECT NOTE : TOPIC :::: CONDITIONS t::. ' i :::: BUILDING SAFETY
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PRIOR TO
OCCUPANCY OF MOBILE HOME, A CHANGE OF USE FOR
EXISTING DWELLING WILL BE::: REQUIRED.
PROCESSED'E::I) B : L E':J'N?i)E L.. , GLORIA
E''F'.1.NTE::l:! F Y : WENDEL.. , GLORIA
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