1990, 06-07 Permit App 90002574 Replace MHSPOKANE COUNTY DEPAR T OF BUILDING AND SAFETY
W. 1303 BRL -.t WAY 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 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/application 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
PROJECT NUMBE:R= 90002574
DATE':= 06r'0/9 PAGE= 01
APPLICATION
ION
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SITE.: STREET= 18511 E. COURTJ...AiNDa AVE PARCEL.;= 06554--0209
ADDRESSADDRESS= SPOKANE WA 99246
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PERMIT USE= SINGLE WIDE MOB1:L..E. {"ICIM{=. »» REPLACEMENT
F'{._ATO== 000646 PLAT NAME= DONWOOD EAST
BLOCK1 L..OT= 9 ZONE= F MH I)7_:,�T T:= a
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r1.UDit'E,',' = SPOKANE WA 99216
CONTACT NAMENAME= JOHN BRUSE
BUILDING SETBACKS: FRONT 4' i_Ei=T= 10
PHONE= 509 226 1165
_ 'PHONE NUMBER= 509 226, 1165
t?:.I. �_r r1 t•= 10 I R r rF. = 30
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DEPARTMENT
BUILDING.
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REVIEW COMMENTS
S'I'-"'-" ,,: REVIEW REQUIRED
ITEM E DESCRIPTION
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE
itw PHT
FEE AMOUNT
PROCESSED BY: ..JUi_:CE SHATTO
PRINTED JULIE F'lAT T O
62.50
62.50
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APPROVAL COMMENT
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QUAN, I FEE ._ AMOUNT
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6.00
AMOUNT PAID AMOUNT OWING
THANK YOU
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