1990, 06-08 Permit: 90002617 MHJ
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROA WAY AVENUE
SPOKANE, WAS INGTON 99260
//509) 45 -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 perm it/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 l 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 orcanc3 U>g provisions of any state or local lawregulatin9 construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construcho
F
OWNER OR AGENTSIGNATURE OU`—(�-�Ly /^� ,� DATE CATION / p� 7n
PROJECT NUMBER= 900026i7
71r�i'F' OA/OR/00
.u.aeaea **.irii u}; i:u ;e )i n)ie ie ii..1* e i PERMIT INFORMATION *de3e3e e;e.x .x .ii xie ri**ni)f***
Si 187 ... _.,
R PARCEL4=
DRES; == OTIS ORCHARDS WA 99027
PERMIT USE= DOUBLE WIDE MOBILE HOME - FiP::PLAFEmENT.
RL_AT4==00 145 PLAT NAME= BARKER READ MOBILE HOMES ADD,
BLOCK= ;' LOT= 1:3 ZONE= F.rlI
AREA== F/A== F WIDTH= 94 DEPTH= I /Li 60
OF Hi_'DGS= ;I: DWELLINGS= 1
OWNEP== HAYWARD, CHARLES r, LE1TA PHONE=- 509 92=; 1`;23
T1 Lf_T== 18721 E: MARLIN P1
ADDRESS=OTIS ORCHARDS WA 99027
CONTACT NAME= CHARLES S IdAYWARD PHONE NIIr4HER=: 5o4' 924 1 °:i'?:;;
BUILDING SETBACKS: FRONT= EX'S LEFT::: EYES RIGHT=:: EXI,S REAR= E::XIS
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CONTRACTOR- OWNER
YR/MAKE= 1990 MARLETTE
SERIff::1i...:ii=::
]:TEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 78 LENGTH 8 HEIGHT=
f,)UAN (.I. i t F P:(F:: AMOUNT
IN ,., •:":C. _. ..... 2
,11,:Fe.t.tl:Opd ri:.E: 100.00
'1 iNi::HAR .E Y 4,50
.
SURCHARGE Y 1 i4 00
.................. ... ,...NT
4C9':�P:J. f��4 i%+!.p.R�ni it P9k de ie dial. ah ae of ae'h de:/e.A. -'M1} 1 tt lvl .... {"11"c:).i} k**************** .ndf ii. ie i@.ii.:n iifi
F'rtT:r ENT DATE Fi+:.r F: IP O": PAYMENT L FII`1(lI_IN f
08/90 3122 120.50
TOTAL „
i,)P�... ,r _:::: ., t', t:, FAX I70,5 0
Mr.. I TYPE ' FEE AMOUNT AMOUNT PAID AMOUNT i'1wI: IJ f:
MO.(i7:i...IE: HOME PMT 120,50 120,50 ,r:,t:,
.120,511 120.50 ,00
F I WEN GLORIA
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