1992, 01-23 Permit: 90006259 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROAt1VENUE
SPANE, WASHINGTON 99260
? (569) 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 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT r " DATE
PROJECT NUMBER= 90006259 ISSUED PERMIT
1-a3 --9Z
DATE= 01/23/92 PAGE`: t?r'i
•**ai•*;;•************ ►a ****•** PERMIT INFORMATION**•***'il•**********xil•******A:it*'A
SITE STREET= 5i i N FARR RD F'ARCEL.O=: 17543•-08302
ADDRESS== SPOKANE: WA 99206
PERMIT USE DOUBLE WIDE MOBLE HOME / SINCE 1986
PLATO= 001755 PLAT NAME= EP -426
BLOCK= 8 LOT= 2 ZONE= SFR DIST: == E::
AREA : 00000000 F /A=: A WIDTH= DEPTH=:
0 OF BLDGS= 0 DWELLINGS= WATER DIST =
R/ W=:: 40
OWNER= JON JOHNSON PHONE= 509 926 4578
STREET= 5004 N SIPPLE RD
ADDRESS= SPOKANE. WA 99212
CONTACT NAME= ..JON JOHNSON PHONE. NUMBER=509 509 922 4578
BUILDING SETBACKS: FRONT= 40 LEFT== 46 RIGHT= 40 REAR= 36
*•x* •************************ •* MOBILE HOME PERMIT **}••x••;f• • •*• *• X***•x***•• •*• a: •
CONTRACTOR:- OWNER
YR/MAKE= 1 985 GURI)E:N
SERIAL4 ==
ITEM DESCRIPTION
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
-
PHONE==
MODEL=
WIDTH= 24 LENGTH= 60 HEIGHT= 10
QUANTITY FEE AMOUNT
Y
100.00
4.5.9
1A.00
••********* *************•******* PAYMENT SUMMARY •*•**aR•*• **** •*• ***** •* • •*;i• • •
PAYMENT DATE:: RECEIPTS: PAYMENT AMOUNT
11/26/90 (x .; 120.50
TOTAL.. DUE= .00 TOTAL.. PAID== 120„50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
-------------
MOBILE HOME PMT 120.50 120.50 .00
120.50 120.50 .00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN 1_.ARSCIN
*h**•x •***** x•* ••x***•xR*****•x* THANK YO!.J•#*j{ii*it•*#i*9l**itait•***ik1{*a#*!t**. ***•JI