1988, 01-11 Permit 87003953 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit and state that the information contained m it and submitted by me or my agent to compile said permit is true and correct. In
addition, 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 canMHW provisions of any state or local law regulating construction, or as a
warranty of conformance with the provisions of any state or 1 cal laws regulating construction.
SIGNATURE OF v APPLICATION /
OWNER OR AGEN O DATE
PROJECT NUMDE::R== 87003953
PERMIT INFORMATION
SITE STREET= 601 N FLORA RD
ADDRESS= VT:ERADAI...I:E WA 990737
DATE= 01/11/88 PAGE= 01
ISSUED PERMIT
PARCEEL..:C:::= 13544....0103
PERMIT USE= ,SINGI...I:E WIDE: MOBILE FOR DEPENDENT RELATIVE
PLATO= 002756 PLAT NAME= VERA
BLOCK=: LOT= ZONE= AGRI: DI.S"TO=
(
AREA= 00000003 \ ( F/A A WIDTH=:: DEPTH=
N' f.)I" BL.DGS= 4 P DWELLINGS= I
OWNER== FOGE:L...S'ON, LESLIE
STREET= 601 N FLORA RD
ADDRESS= VERADALE WA 99037
PHONE=
CONTACT NAME== OWNER PHONE: NUMBER=:
BUILDING SETBACKS: FRONT== 00070 LEFT= 00771 RIGHT= 0000 REAR== 0000
F
R/W= 60
MOBILE HOME PERMIT
CONTRACTOR- OWNER PHONE:--:
YR/MAKE: MODEEL
S'E:.RIALO:= WIDTH== 08 LENGTH= 42 HEIGHT= 110
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
INSPECTION FEE:: 1 50.00
BUIL..DING SURCHARGE Y 3.50
PAYMENT SUMMARY .x.#.x..x.{c.#.##.#.�tt. #..x.##.{r#•#####�##�#�#�#�x#
PAYMENT DATE:: RECF_IPTO
1 1 /1 7/8'7 4752
TOTAL.. DUI:E:=: .070 TOTAL.. PAID==
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID
MOBIL.EE HOME: PMT 53.50 5300
53.50 53.50
PROCI:ESSE.D BY: WE::NDEEL, GLORIA
PRINTED BY: FORRY, JEFF
PAYMENT AMOUNT
53,50
------------
53.'50
AMOUNT OWING
---------------
.00
---------------
.00
'THANK YOU