1991, 08-28 Permit: 91005018 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 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
OWNER OR AGENT
APPLICATION fir
DATE /
q/
PROJECT
PROJECT NUMBER= 91005018 ISSUED PERMIT DATE= 08/28/91 PAGE= 04
**************************** PERMIT .INFORMATION **********u*******t•)•********•
SITE STREET= 43712 E HEROY AVE
ADDRESS= SPOKANE WA 99216
PARCEL= 03541-0714
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLATT= 002678 PLAT NAME= TRENTWOOD ORCHARDS
BLOCK= 37 LOT= ZONE= UR -3.5 DIST:= F
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 112 R/W= 50
;r OF BLDGS= 1 4 DWELLINGS= i WATER DIST = TRENTWOOD
OWNER= SAUVE, GEORGE PHONE= 509 928 4330
STREET= 13712 E HEROY AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= GEORGE SALSVE. PHONE NUMBER= 509 928 4330
BUILDING SETBACKS: FRONT=U.FIEN LF_FT 1NK-N-RIGHT= UANFii'REAR= }NWi
**************************` *** MOBILE/HOME PERMIT ********* ** ias ************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1992 MODEL== KIT
SERIAL:= WIDTH= 28 LENGTH= 44 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FETE
STATE SURCHARGE Y
COUNTY SURCHARGE Y
100.00
4.50
16.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
08/28/91 6099 120.50
TOTAL DUE= .00 TOTAL PAID= 120.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 120.50
.120.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
120.50 .00
120.50 .00
******************************** THANK YOU *********************************