1992, 12-04 Permit: 92010026 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION Z — ‘7'— / Z
OWNER OR AGENT (SE� DATE
PROJECT NUMBE:R= 92010026
ISSUED PERMIT DATE= 12/04/92 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREE:T= 4408 N MAYHEW RD PARCEL4= 49031.1917
ADDRESS= SPOKANE WA 99216
PERMIT USE= INSTALL CLASS A MOBILE HOME_.
PLATT= 002678 PLAT NAME= TRENTWOOD ORCHARDS
BLOCK= LOT= ZONE= UR 3.5 DISTY= H
AREA= F/A= F WIDTH= DEPTH= R/W= 50
OF BLDGS= 4 DWELLINGS= i WATER DIST = TRENTWOOD
OWNER= RAY BETTY JEAN
STREET= POB 141271
ADDRESS= SPOKANE WA 99214
CONTACT NAME= GARY NICHOLS
PHONE= 509 927 2763
PHONE NUMBER= 509 927 2763
BUILDING SETBACKS: FRONT= 59 LEFT= 10 RIGHT= 24 REAR- 25
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1992 NASHUA MODEL=
SERIAL4= WIDTH= 26 LENGTH= 56 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/04/92 956 122.50
TOTAL DUE= .00 TOTAL PAID= 122.50
PERMIT TYPE FEE AMOUNT AMOUNT PAII) AMOUNT OWING
MOBILE HOME PMT 122.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JULIE SHATTO
122.50 .00
122.50 122.50
.00
******************************** THANK YOU *********************************