1987, 03-12 Permit: 87000582 Inserts 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. In 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
OWNER OR AGENT DATE
PROJECT NUMBER:::: 87000582
DP: _. ._ .E::.... (i 1
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PARCEL
aRi . ' M :ER_ 20542-3714
SITE STREET= `3 = .2 i .. F 23RD f'rE V....
ADDRESS= .:PO AN WA 99206
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PERMIT USE= lNSP _ i TWO(2) " iRE"LA ( INSERTS
P _=" y = 001393 IAT AME: KOKUMOTON_ IC (COPY
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1,tt Ef` oc i.= .H. DWELLINGS=
OWNER= BARRON, s`...E:f 1 Y PHONE=
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STREET= 11216 F. 23RD AVE
ADDRESS= SPOKANE WA 99206
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CONTACT NAME= OWNER PHONE NUMBER=
BUILDING SETBACKS : FRONT= LLFI = RIGHT- REAR=
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STREET=REf: f:::: 13000 ?
ADDRESS= t. X X
ITEM EM 1}Ei!_R.i.P :.ON QUANTITY FEE AMOUNT
PROCESSING FEE '' 15.00
WOOD.TOVEi:1`#u:ERT 2 20.00
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PAYMENT DATE
AEt . :( . ` 4PAYMENT AMOUNT
03/12/87 81 35.00
TOTAL
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