1989, Permit App: 89002298 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 9926C
(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 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 anysubsequent
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
1 -)ATE
,..,r.,{..: !`::'{.....{. a.±±it:; C:'±,.... R90e729R DATE=
07/19/89
1 r-9PAGE=
._.
t at3? IL:t:: }r]3f3M::i:::•tc iIN : :f*__.. .K]?n:iti?:S}:SS
SITE _ ::.r« 2603 ± BRADLEY . : " i i _ ±?_..... " r 7 ,
ADDRESS= SPOKANE
, j 99212 21,
WIDE MOBILE HOME
A"v.001866 PLAT ! vME= ORCHARD AVENUE ADD
rY:. i' .». 17—S73
r., i LOT= •••rria fE... AGSUB 't ; T c, ••{- .a..... i...
AREA= ! F..F .._ : WIDTH= 80 DEPTH= 140 ... •� ...
...........
WALTER
{ _ BRADLEY
ADDRESS= SPOKANE WA A
CONTACT NAME=
OWNER
PHONE=
PHONE NUMBER= 509 924 4817
BUILDING SETBACKS: FRONT=35 LEFT= RIGHT= 20REAR= •i E:r
.:at* * * * a }:{in.* ;::x;:z ;::* REVIEW a?"O"t"r.»a* A :* {?*a*{z {*s*yi4 i , * , r * * ;
IN/OUT INITIALS
DATE
DEPARTMENT ref `.3 i±t._N! E'?E"iE 4!...
............................................................
BUILDING & SAFETY
031 ' 11!''t"f. E...LE?_ v. iE...r..r.,
REVIEW COMMENTS
SETBACK REVIEW REQUIRED
7-R90719 GMW
-/7-S(5
NEW
: : i {.. i ROAD i 'r't:ff 890719
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G
TTIONAL WASTE WATER 6907i GMW
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COUNTY PLANNING
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WIDTH= 24 LENGTH= E:5(: HEIGHT=
PROCESSED f :±Di:.± GLORIA
PRINTED A. iiJ 1... f'? d' L.. L.. i GLORIA
: :„} ` *: t : SNird * * FLk l?:f?h,ny};THANK ? you ..;$ ; � .{ � R 4 ?::ni: }?: `; f`n * * 3 :: 5
7 STATE OT WASHINGTON
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1
2
3
4
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TITLE OPTIONS
Original
Transfer
Duplicate
Reissue
MANUFACTURED HOME APPLICATION
1 "I TITLE ELIMINATION (Complete all but section 3, below)
TRANSFER IN LOCATION (Complete ALL sections below)
REMOVAL FROM REAL PROPERTY (Complete all but section 4, below)
MANUFACTURED HOME
RECORDER'S CLOCK
RECORDED AT
REQUEST OF:
YEAR
1985
MAKE
NASHA
WIDTH/LENGTH
.2A-74441 sii
VEHICLE IDENTIFICATION NUMBER (VIN)
IDA074486074481
COLOR 81
TOP OR
FRONT:
COLOR 82
BOTTOM OR
REAR COLOR:
LAND
ty Ass_essor's..ffice.
• Attach a copy of the legal description of your land. It can be obtained from your CourPROPERTYTAX;ABCaNUMBER
• Land to which the manufactured home is being:
X
AFFIXED
REMOVED
35121.6703
TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership are true and correct.
NAME . :
TITLE COMPANY/PHONE NUMBER .. ..
SIGNATURE • .
X
DATE
NOTE: Application must be finalized with a Licensing Agent within 10 calendar days of the date signed by the Title Company Representative.
BUILDING PERMIT OFFICE CERTIFICATION
I certify that the manufactured home has been affixed to the real property as described, or the
folio in. buildin. •ermit has been issued for this •ur•ose and will be ins •ected u•on completion.
BLDG PERMIT It
89002298
N
1 .. /I it .L 9 i
SIGNATURE/TITLE
SPOKANE COUNTY SPOKANE
X n1411sIr1A1 1F BUILOlNAND G • 4.NING
IT OFFICE/PHONE
f
NUMBER
�r
DATE
i
OWNER INFORMATION
'FEE
COUNTY 1 INC UNINC
n n
NUMBER OF Y
REGISTERED OWNERS
1
NUMBER OF
LEGAL OWNERS
Please provide the Department of Licensing (DOL)
Client "NUMBER" for each owner:
R
E
0
S
T
E
R
E
0
NAME OF FIRST REGISTERED OWNER
Kathleen R. Biome
NAME OF SECOND REGISTERED OWNER
FILING FEE
62.1 0' r 44121 '9IBG
ADDRESS OF FIRST REGISTERED OWNER
2603 North Bradley Road
CITY
STATE
Spokane WA
NAME OF FIRST LEGAL OWNER•
CountryWide Funding Corp.
ZIPCODE
99212
L
E
0
A
L
MAILING ADDRESS OF FIRST LEGAL OWNER
6007 North Division St
CITY
Spokane
•SIGNATURE OF LEGAL OWN NDICATESQ ON
STATE ZIPCODE
WA 99207
ELIMINATION OF TITLE:,
1 1 1 1 1 1 1 1 1 1 1
This "NUMBER" may be found on
your Washington Drivers License/
I.D. Card --OR-- if the owner is a
business, provide the Unified
business identifier(UBI) number.
I I —'I ^IZ�d31 1 I'll I I
More than two registered or
one legal owner? ..
Please use attachment forms
(TD -420-732)
APPLICATION
MOBILE HOME FEES
ELIMINATION
USE TAX
SUB -AGENT FEES
TOTAL FEES & TAX
Anyone who knowingly makes a false statement 416 material fact is guilty
of a felony, and upon conviction may be punished by a line of up to 15,000
and/or 10 years imprisonment (RCW 46.12.210). 1 DO SOLEMNLY ATTEST
UNDER PENALTY OF PERJURY LAW THAT 1/WE ARE THE REGISTERED
OWNERS OF T VEHICLE AND THIS INFORMATION IS ACCURATE
Regi i red Ownearr8gre(s): (Tl tie)
x
x
X
NOTAR
NAME
ubacribed and
V Day of
Sy,om to Before Me Thus
i 19
DEALER'S REPORT OF SALE
1 certify that this information is
coribct.`:The/vghicle is clear of
encumbrancgs e>fC•eplr;Vu;nhown.
:DEALER NM!1 C „jai fe ",.;:, j;..,.,DATE OF SALE
,
WA DLR N9;, A
r �L'R. AV/tr
EA „ O S PCKgNEShl; .L TOv
ir'LS1
Jtcc t` �II'.III/j j; JSE'TAX EXEMPT ssle to Indian on tn.`-Vo K.0— r-4—_- County
PURCHASE PRICE
TAX JURISDICTION/TAX RATE
Residing in
Reservation (attach notarized statement of delivery)
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Sub -Agents)
I certify that the above application appears to have been completed correctly, and the applicant
has sufficient documentation to proceed with the recording of this form.
RECORDING NUMBER ..
SIGNATURE
X
OFFIC ERATOR NUMBER
RECORDING OFFICE
This form has been recorded in the county records.
TO -420-729 MANUF HOME APPLIR/7/931OR Page 1 of 2
COUNTY
DATE
VOLUME/PAGE
DATE
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JAN -17-'90 10:42 ID:HEALTH SPO
FINAL P01
TEL NO:96232500 #024 P01
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