1990, 11-16 Permit: 90006233 Double Wide MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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 or not I understand that the issuance of this . -rmit /application and any subsequent inspection approvals g ype of work will be complied with whether specified
give authority to violate or cancel the provisi.nsoi : ny state . .- .allawrcn,�l�.;..,.,.,.__._.._. _ p orCertificatesofOccunancyshal lnot...,cons._
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER,- 90006233
APPLICATION
DATE
/0&*
( i::.:: `i :t, 16/90 PAGE— 01
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SITE STREET=
EN
ADDRESS= GELN 9901'6
PERMIT USE: ": DOUBLE WIDE MOBILE HOME
i y t t • • t : ? 't :. ( PLAT N A M E = MEP
BLOCK= LO1=
OF .i:t i.. f ? .r E = 4 DWELLINGS= 't
OWNER ? l
- i V STANLEY ... i # t........... Y t
,;t, ^•i {
!• . z.: � t... s t . ,.. �... t'4 f••i :: #'c' #::.:`•' t:t t °i 990.16
# Af., t NAME= RICHARD MASON
WING SETBACKS: FRONT= •t :rt
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CONTRACTOR= OWNER
YR/MAKE= 1990
E _ If'' {L4::::
ITEM DESCRIPTION
.fii`N
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41-E SURCHA.1-.
PARCELO= 24541-9126
MOBILE HOME PERMIT
ONF• NUMBER= 509
..................... ...............................
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PHONE=
LAMPLIGHTER
26 LENGTH= 4R HEIGHT.,, OR
QUANTITY FEE AMOUNT
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Or
-ERMIT TYPE
e' #i..#::.......E HOME i-`ii'...t.
FEE AMOUNT
l.Jt...i.P HA. 'FT Ii
TOTAL PAID=
AMOUNT PAID
............. ...............................
PAYMENT AMOUN7
120„50
AMOUNT 'j' i:'i .:i :r NG
e 00
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#_ Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
•
Engineer's RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning Bonds
•
•
Utilities Double Plumbing
_ ULID
Other .
*******************************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: