1989, 05-18 Permit: 89001342 Mobile Home #30SPOKANE COUNTY DEPARTMEN r OF BUILDING AND SAFETY
W. 1303P.POADWAY AVENUE
SPOr:ANE, 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 INSPECTION REQUIREMENTS /NOTICE provisions included herein and agreeto 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 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
DATE= 05/18/89 PAGE= 01
ISSUED PERMIT
,: , . .. .. .. ,: .: .. : r.:,
,. 5..: +.:•.:•.: +.: +. tc )..:s _li• }•. :l:: },. . +4 .r�..... .:1: ',:.,,. } +: .1E.:......, :i. .. ## INFORMATION *************************§**
SITE i T 6: . 4415 i ADAMS D n: A .! R . 02542-3201
ADDRESS= SPOKANE WA 99216
PERMIT USE= MOBILE HOME
+. {; +.i 8 : PLAT NAME= ADAMS ROAD M1I.i. !... .: :. is' » ?!..... PARK
BLOCK= LOT= 30 'ZONE= RMH DISTO= n ...
A R .:: _i' a LP0 0 ' /h ^ F WIDTH= DEPTH= i c
�; OF F i..' i.» D 1.:; : :i .... •H' DWELLINGS=
OWNER= I..7 {. : 3 t DAVID
STREET= 4415 N ADAMS RD 30
ADDRESS= SPOKANE I,IA 99216
CONTACT NAME= y :i i t 4 : r ,r I BER PHONE : �i :
{ :♦i
.
BUILDING . B "? , FRONT= v ! LEFT= N i RIGHT= . . REAR= .: i
tt, r : 7 , ` : : : ' Y L d r . r: r 'r * m 1 o Y i . HOME { I ! . Pk ; ; r - ; ; " ;t ; * i} i{r * idj * ; * {
CONTRACTOR= OWNER PHONE=
1960 MODEL= • t•_:`H11A
.. SERIAL!!..... WIDTH= LENGTH= HEIGHT= 10
ITEM i -..S i :t i t yy N QUANTITY t. AMOUNT
INSPECTION FEE 50,.00
BUILDING SURLHAR6L
.. .: .. . .. .. . ..... • •:: r. ": * •. i:.i,:.:.:.: ?r..:::: '. '. 5 •- : '.. }•.. ' °t! :. P.! .1• ! i'bj r { f ..: ij..t!:.;s:.r,..Z,..}}..i}..1 +: +: ii: k; . }r .1i-'+F -!!: a!: - + +' i'+::`-:
:El: .;;..!;. s!..i}..p....t!; � +: ': `: :I4 •1: :. i, !! f !, $ !, EI •i,; ei ,{ i!. :y ]i; � ^` f :ft ' i �... ! ! ,.. ..: i ! ! E t i . •f• .. :. .. .i..i+• '�i: '�. .. .. . .
PAYMENT DATE
TOTAL .. ::
PERMIT TYPE
moPTLE HOME PMT
RECEIPTt
'fi TOTAL P(3Ir.. ::
FEE: AMOUNT
{N•i•
AMOUNT PAID
PAYMENT AMOUNT
................. ...............................
^ PROJECT NUMBER= 89001342
***************************
trbh-?T INFORMATION
SITE STREET= 4415 N ADAMS RD 38
ADDRESS= SPOKANE WA 99216
` ,^
DATE � O5/i8/�9' PAC,E= 01
ISSUED PERMIT
***************************
PARCELO= 02542-3201
PERMIT USE= MOBILE HOME
PLATO= MH0081 PLAT NAME= ADAMS ROAD MOILE HOME PARK
BLOCK= LOT= 30 ZONE= RMH DI%T1= �E]
AREA= 0000O000 F/A= A WIDTH= DEPTH= -�R/W=
t OF BLDG%= 4 DWELLINGS=
OWNER= OLM, DAVID
STREET= 4415 N ADAMS RD 30
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= DWAYNE %CHREIBER MBER= 509 926 3003
BUILDING SETBACKS: FRONT= 35 LEFT= NA RIG T=o^m�Ali).AR= 241
****************************** MOBILE HOME PERMIT **********************«***
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1960
%ERIAL4=
tz)
MODEL= NA%HUA
WIDTH= 10 LENGTH= 55 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------��`�
INSPECTION FEE • i 50.00
BUILDING SURCHARGE Y 3.50
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O5/18/89 1697 53^50
------------
TOTAL DUE= .00 TOTAL PAID= 53.50
PERMIT TYPE •
---------------
MOBILE HOME PMT
FEE AMOUNT
PROCESSED BY: STEVE HOLYK
PRINTED BY: FORRY' JEFF
53.50
-----
53.50
AMOUNT PAID
-----------
53,50
-----------
53.50
AMOUNT OWING
------------
.00
.0O
******************************** THANK YOU ********************************
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for Cm processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y/n)
Received application:
Approval granted:
By:
Certificate of Occupancy issued:
By:
Ninety days after C/0 issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - piano destroyed:
Received by:
Date: