1991, 05-23 Permit: 91002825 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE, N 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 I regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
� �
SIGNATURE OF w~ � -el
APPLICATION
CAT.Ow �~�, 2,3 _F
OWNER OR AGENT DATE
PROJECT NUMBER= 91002825 I%%UED PERMIT
**************************** pERMIT INFORmATION ****************************
%ITE
ET --ET- i7Oii E MEADOWBROOK LN
vow.. E%%= %POKANE WA 992i6
PERMIT U%E= DOUBLE WIDE MOBILE HOME
PLAT -4;:= MH0107 FLAT NAME= MEADOWBROGK vILLAcF
BLOCK= LOT= 3 ZONE- UR -7 DIJT�=
AREA= 00000000 F/A= F WIDTH= DEPTH=
BLDG%= i DWELLIN%= i WATER DI�T =
OWNER= HANNA' RDON
%TREET= 7SO9 N COUNTRY HOME J BLV
ADDRE%%= %PORANF WA 99208
ACT NAME= :.:,ORDON HANNA
FRONT= 4
PHONE NUMBER= 509 0195
RIGHT= 5 REAP= 5
****************************** MOBILE HOME pERMIT **************************
PHOKE=
J�
MODEi= '�=^-^~~+4-04-
WI - 24 LENGTH- 50
FEE AMOUNl
)OO.00
4.50
i6.00
******************************* PAYMENT %UMMARY ****************************
PROCE
PRI
TGTAL
FEE AMOUNT AMOUNT PAID
-----------
120,':50 120,50
i2O.50
120,50
BY: JULIE %HATTG
BY: JULIE %HATTO
i?O.50
-----'
i2O.5O
******************************** THANK YOU ********************************