1992, 04-29 Permit: 92002900 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!certify that I have examined this permit/application, state that the informatiori 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 of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002900 ISSUED PERMIT
M ***:ri de X dedrde delle*********-E**de de
ii' PERMIT I.NFOR SA"Ii i
VOID
DATE:— 04/29/92
SIfE:. STREET= 2. S DISHMAN RD PARCEI...v:= 20543--0903
ADDRESS= SPOKANE WA 99205
PERMIT USE= TRIPLE (WIDE: MOBILE HOME -- REPLACEMENT
E t -AT'"== 002377 PLAT NAME= SIESTA MOBILE PARK AT;:(''
$
BLOCK=5 LOT=:) ZONE= t.;(.{...._1 I).T.;;T'r:=:
AREA= F/A= F WIDTH= 75 DEPTH=
OF BLDGS= 4 DWELLINGS= j WATER DIST __
OWNER= JOHNSON, ERIC ti YVONNiE
STREET= 1210 S DI:.SHMAM IID
ADDRESS= SPOKANE WA 992015
IHONE 509 927 ,)j:511
CONTACT NAME= THRIFTY MOBILE -- DAVE PHONE. NUMBER= 509
BUILDING SETBACKS: FRONT= 27 LEFT= > RIGHT= 14 REAR= 30+
de*re.M..k de*** d( dell(*s:
PAIGE=
r:a: *****#****de di' MOBILE I -TOME. PERMIT '>': de diii'di'd('* d('.)[..k. *3e .h ***ra **
CONTRACTOR=: UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1992 £ROOKSHIREi:
SERlAL:C:
MODEL=
WIDTH=
'f l
PHONE=
1.E:ctL T H::
17,
HEIGHT= 00
ITEM/ DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 3 150..00
STATE SURCHARGE Y 4.50
t::0 i-1 i`4 -f Y SURCHARGE
}_;eEeatlattecodr uviddiE ae e d9eu -"T SEN 1SUMMARY dk e dxE********** * *n*ry
k
PAYMENT DATE:: RECEIPT;I: PAYMENT AMOUN..l.
04/29/92 3128 181 ,50
TOTAL DtJE: .00 TOTAL PAID= 181,50
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE I-tOME PMT 181.50 181.50 AO
181 .50 181.50 00
PI OCESSEI) BY:
PRINTED BY:WENDEL, GLORIA
bii=NDE'L. , GLORIA
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