1989, 12-07 Permit: 89004979 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(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 agreeto comply with same. All provisions of laws
and ordinances governing this ty•:.. ork will be compli:• with whether specified herein or not. l understand that the issuance of this permit and any subsequent
Inspection approvals or Certific: (:9 1 Occupancy s• . •t be construed to give authority to violate or cancel the provisions of any state or lo law regulating
construction, or as a warranty •1 c • for : n`.' t - pr• ' ions o1 any state or local laws regulating construction.
SIGNATURE OF //APPLICATION /z 7
OWNER OR AGENT S r f1ATE
PROJECT NUMBER= st?i-i049
R. -.a: 3F 3i 3r 3i3(3i•3
PERMIT :FNFRRMAT:rnN 3'13
STREET=SITE 912
,..
E ° ':
AT�ADDRESS=SPOKANESPOKANEiu ' re 16
PERMIT USE= DOUBLE WIDE MOR rl..r- HOME
,.,.ii ... 12/07/09 I AI;li:'
ISSUED PERMIT
9i..>i..)i dr 3i 3E 3,) 35-) diX t
41 .... 132'3
1"L_6qT:4"''' kl to .{ ::?.:, I'L.r-i i' NAME:::: VERA
BLOCK= LOT= 2 rrti'Jrr=
AREA= i i'i1::- I::' WIDTH= 1550 DEPTH=: 1540
4 OF BLDG:. 1:: DWELLINGS= 1
Oi,JNFR::.: t1cL.c1i.TF3 Ci''IIi:':f
ADDRESS== SIRONA,\il:: LJA 99212
CONTACT NAME= ..TEFF CLAP r
BU:II...D:I:Nt; SETBACKS: FRONT=': LEFT= :: 40 RIGHT...
•)j..)i. 3i' .1i. 3i' * )i..y:.p S*** 3i b:
CONTRACTOR...: OWFJri
YIi,i-1 I<E::.: 1909 FLr_Elb
1.111
MOT;:I:I..F." HOME F'F::F MIM
MODEL.-:: BR OOKr1E::L'DJ
E
9241 22 R
t?
REAR= 1 00 4.
.h.3i. *..u..ri..u..h..x..k.
RERTALJ:..:::
.J I �::r. �r.:b LENGTH= ;>.-. 'r.. L- i:::: 10
1.'ri::i.1 DE: RIPT':ION
2MOHI'-IF:1;V
COUNTY SURCHARGE
'}l. 3i' -X:Pi 3i. ,i: dt 3r.31. 3! 9i. vui 3i.3i.3r; .ti:.li: .hi. i..li.9i' 3i
In{,Y•.g1_'`i T 1JAiE:
PAYMENT
RE:Cf:ETF>T;I:
6204
TOTAL 1;1.11-=-
PERMIT frG:l::: F:r:r: AMOUNT
r'1fIB1:LE I-If1Mf:: NIT 120,50
120.50
PROCESS I::.D BY. (,.iFr`,iT1)j:i .ri.J.
PRINTED T'{'(: ,'.>'II:'JF:. NT.`i'i
i
rJl.lr' NT T:T'' GI F:: pahif11.1iN T
100,00
,: 0/
JMMAR:Y :k....i 3i..$ .) Hi}i. 3i §i ii: 3i 3i) Ad(. .) 3i 3i R. 9r V.
.PA 'ri•iisi.d-f t -t MOlIiVT
1 "? 0 50
00 TOTAL PA 'f i -):r.: 'i ?i) . 50
rii•lfilINT Nyco
i20.50
120. iE)
AMMIN MUNE;
.00
.00
i•.)i. ai. i[ Trl r`livl.. YOU )i.ii..k..p;
INSP - ID
Date received for C/0 processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y/n)
Certificate of occupancy issued:
Received application:
By:
Approval granted:
By:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
Date:
DATE
No response from owner/contractor - plans destroyed:
Notes:
U
I
1
D
1
N
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P
L
U
U
M
B
1
N
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M
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C
H
A
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4110
0
T
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* * * * * * * * * * THIS SPACE FOR COMMERCIAL PIANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/0 processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y/n)
Certificate of occupancy issued:
Received application:
By:
Approval granted:
By:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
Date:
Received by:
No response from owner/contractor - plans destroyed:
Notes: