1991, 11-25 Permit: 91008195 Double Wide MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPO_G NE, 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 cpyrnply with same. All provisions of laws and ordinances governing this type of work will be compiied with whether specified
herein or not. I understand that the iss Oe of this : -rmit /.. plication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the r isions. to or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF 41111100,1
OWNER OR AGENT APPLICATION
L. �J'• ==
--� DATE
PROjECT NUMBER= 91008195
ISSUED i" E R t °! I ! DATE= 1 i .. -. / i. i r 01
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n T S ASPEN " i " r C : L1 : 24541-9126
SPOKANE
WA 99037
PERMIT USE= DOUBLE WIDE !'t C1(:s .i: s. ; :• HOME
PLATO= 11)i y PLAT a i t • I r MEADOWBROOK
VILLAGE
BLOCK= T. yr
, „
r' 0_
AREA= 00000000 Y i. !!
•Ir OF .t:f !... + ix E r• '; -.- DWELLINGS= '! WATER DIET ....
C3WNER.... W;. :t!... ! EF ,:• CHARLES ;° PHONE= 509 926 1728
AI)DRE ,':.. ;.F f:1it:. Nr WA 99216
CONTACT NAME.:::: CHARLES WAL ? ER, PHONE NUMBER= i REAR= 5
= y t: tBUILDING SETBACKS: Fr-1N T= Y LEFT= r • t r
,.,f:**************************** i ! E HOME ” l " ti **x***********************
CONTRACTOR= OWNER PHONE=
: R !A < c : 1991 M t(E »: FUQUA
? ER 1 At Mr WIDTH=
20 LENGTH= !'],i HEIGHT= 10
ITEM I::.!'! TiEst. :RII° ! J.Ci!`N QUANTITY' FEE AMOUNT
INSPECTION FEE 100„00
COUNTY SURCHARGE 16,00
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PAYMENT DATE t.' C::i».[[ 7 P '.n. PAYMENT A"OUN.T.
11/25/91 9 2 F¢
TOTAL D t = ,00 » (» PAID:. 120„50
PERMIT ! Y ! FEE ; °t_, ! AMOUNT P r iD AMOUNT rWIN T
MOBILE HOME F'MT 120„50 120,50 :. l )+ j
120,50 120,50 AO
("!"•'.'•..)..: .::. ,.. .ED BY: JULIE
l f i I : 4 H ATT o
PRINTED Y : :j LI: S H t t
3' ............................... 1.1 Y (: i **********:k*********************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept: Date:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Condition:
Project #
Use
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit: ! Appr:
(in) I (out)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Date received for C/O processing: Plans pulled for final processing.
Temporary C/O issued. Certificate of Occupancy issued.
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner /contractor called regarding the return of plans: Date.
Plans returned: Received by
No response from owner /contractor - plans destroyed.