1992, 04-27 Permit App: 92002869 MH14.1
SPOKANE 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
OWNER OR AGENT DATE
PROJECT NUMBER= R= 9 'i'/t72 : 69
APPLICATION DATE= 04/27/92 AGo
:w**3i3i•* THIS IS NOT A PERMIT 3C-•ri•3r •3i•3c
.PENALTIES WIL..l... BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE S TRF E T-- 18305 I E LIBERTY AVE PARCEi..4.= 06554-0809
ADDRESS= . SPOKANE WA 99216
PERMIT USE::-- REPLACEMENT OF DOUBLE WIDE MOBILE HOME
PLATO= 000646 PLAT NAME= DONWOOD EAST
BLOCK= iLOT= 9 Zi:1NE:.. UR—7 D:I:ET4::_ 1_;,
AREA= F"/A= F" WIDTH-: 80 DEPTH- -1500 F'/ W=
OF BL..D(YS:::: : DWELLINGS= •i WATER DIST ::-
OWNER:::: RAintDRlJF:' , JOHN & i:I..iTii PHONE -
STREET= 18305 1- LIBERTY AVE-::
ADDRESS= SPOKANE WA 99216
CONTACT NAME=.
NAItE .J & MOBIL 3 HOME
TNC"ON Ni F 509' 5423
BUILDING SETBACKS= FRONT= i _T= rRIGHT REAR- 55
.H.:ri * * 3i * 3i• *.ri * :..H.:>i * * *:x..a * * •k• 3.3* 3* . (H •a• 3* )i R E:: V I E W :1: IST F (.1 F%: M AT :i: 04,1 •R• * 3* H: •%l Il• * 3°: •}•.• •lE it• •X• 3* •N: 3* A: 9k !£• A• $.• •w.• Ni . if..p: P:
DEPARTMENT REVIEW.... COMMENTS APPROVAL COMMENTS
BUILDING SETBACK REVIEW REQUIRED
llF•::AI...TH()isST NEW OR ADDITIONAL.. WASTE WATER
3•i • •1'; }t• 3k 3c * * * h: 3r: * ii• * 3i• 3E.• n• 3{• :* 3* 3i• * 334 ii• 3* • -'r.• .) *
CONTRACTOR- OWNER
iiOBIL..E. HOME PER
PHONE=
YR/MAKE- 1992 MODEL..:-: PARK RIVER
SERIAL4= WIDTH= 26 LENGTH= 60 HEIGHT= 00
ITEM DESCRIPTION QUANTITY
INSPECTION FEE( 2
STATE
1 A T i::. IJRf HAkLYE:. .B
COUNTY SURCHARGE
IAFECxE
FEE AMOUNT
.100.00
4.50
18.00
•n• 36 3[• 3r 3r 3t• 3t• 3i :e• .K• :M: 3{• 3* 3{ 3!• 3i• M: 3 IC 3:: •1+• 34. * * } •A:• 3t * 3. 3* 34 pAymENT summARy 3* 3r: * •A: 3k .' * 3t• 3l 'A: 3[• . 3i• 3t•'* * 3!• 3i 3i• •*• 3t• 3(3E '3* 34 3i 3* •it•
PAYMENT DATE RET:E.IF:'T4 PAYMENT AMOUNT
04/27/92..
)4 r.27.' 9 3072 122.50
TOTAL DUE-- .00 TOTAL AL.. PAID= 122.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING;
MOBILE HOiuiE:. PMT 122r50 122.50 .00
122.50 122.50 .00
PROCESSED rt ' : r;o1`+iiTROV:l:C;Fi , ROBINi
PRINTED BY: DT:lMITFtClVT.'H ROBIN
p:.n. * 'N: •3t.• # :N• '1•: •R• 3k •if..yy * * ..3(.* * yj.:* ij * •M• * * •A: 3+: 34. 14 3t• 3{. 3i• THANK y o I„ i ********************************4,