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1987, 10-02 Permit 87003312 Gas Hook UpSPOKANE COUNTY DEPARTMENT QF BUILDING AND SAFETY NORTH 811JEFFERSON SPOKANE, WASHINGTON 892UO (509) 456-3675 m^mp^,mo/o*o««,m"»'**m conimmad 4 it and submitted by me or my agent to comp, mi provisions of lawsile and have I er it a that me mi W nd agree to comply wit Sam I certify that I hav, ex t is I P N REQUtREMENTS/NOTICE provisions included herein a addition, I have to d n un ers n t at the issuance of t is perpi :d any subsequent inspection a ruction, or as a oradinwam"es governing I t e of ork will ied whether specified herein or cf. understand Me a str,e to give authority to violate or cancel Me proMian of any MaMle, or Z1,11 rog' warranty of corrforma cc 1 t In mo set n Is or lo al laws regulating construction, AWUCATI04N SIGNATURE OF A DATE OWNER OR AGENT / PROJECT NUMBER= 870833i2 DATE- i8/82/87 PAGE= 0' ********************** ************«*************** PERMIT INFORMATION ****** SITE STREET= 11928 E MANSFIELD AVE 0119 PARCELO= 89544-842i ADDRESS= SPOKANE WA 99286 PERMIT USE= GAS HOOK—UP PLAT*= MH8845 PLAT NAME- PINECROFT MOBILE HOME PARK BLOCK:7 LOT:::: ZONE= RHM DI%TO= E R/W� AREA= 88888880 F/A= A WIDTH= DEPTH= 0 OF BLDG%= 0 DWELLINGS::;: OWNER= JONES, ERYL O PHONE= 589 922 1735 STREET= 11928 E MANSFIELD AVE 66 ADDRESS= SPOKANE WA 99286 CONTACT NAME= OWNER PHONE NUMBER= 589-922-1735 BUILDING SETBACKS: FRONT= LEFT- RIGHT- REAR:::: ******************************* MECHANICAL PERMIT ************************** CONTRACTOR= OWNER ITEM DESCRIPTION —~---~---------'-----~--- PROCE%%ING FEE GAS PIPING MINIMUM FEE ADJUSTMENT PHONE:::: QUANTITY FEE AMOUNT '--'---- ~--~----'— Y i5^88 j ^58 Y 4`58 ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 18/82/87 4835 28^88 --'-------^— TOTAL DUE:,-: ^88 TOTAL PAID= 28^08 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ----'------~— -------'--~— ------------ MECHANICAL PRMT PRMT 28'88 28^08 08 -------'----- ------'----- --'--~-----^- 28^88 28^08 188 PROCESSED BY: MA%CARDO' GODOLFIN ******************************** THANK YOU *********************************