1990, 09-28 Permit: 90004791 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
1509) 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 REOUIREMENTS/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/appl cation and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel tp provisions of any state or IdaI law regulating constructiorkor as a warrafity of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF
OWNER OR AGENT' ()V)lif APPLICATION Ci?
DATE q 6
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PROJECT NUMBER= 90004791•
..)f.*******x*Kkrga**x********* PERMIT
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DATE=" 09/28/90 PACE= 01
ISSUED PERMIT
oRH6TION *******.v.***,ftK**aa*ft****,.A**fi
SITE "STE4HCN"-17606.E MONTGOMERY -AVE " " PARCEL4= 07553-021i
ADDRESS=- GREENACRES WA 99016
PERMIT USE= SINGLE WIDE MOBILE •HOME :- .., - • . _
PLATO 002044 PLAT NAMF=-PLAT'AP GREENACRES IRR,DISTRIC
BLOCK= LOT= . - ZONE= AGRI r DISTt= c
AREA= 00200004 - F/A=-A WIDTH= DEPTH= R/W= 60 '
0 DE DUX'S= . ...:: 0 DWELLINGS= .2
OWNER= DELANEY, HOWARD --, PHONE= 509 928 2446
STREET= .17606 EMONTGOMERY"AVE -
ADDRESS= GREENACRES WA 99016 - ' . _
. -
. .. • •
CONTACT NAME= DAN ...'ONES' . _ _ . ,PHONE NUMBER= 509 928 2446
BUILDING SETBACKS: FRONT= 600 LEFT= 100+ RIGHT= 100+ REAR= 100+
MOBILE 1.18i•ff: PERMIT *****.k***:g**********
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CONTRACTOR = OWNER PHONE=
XR/MAKE= 1978 LIBERTY-- • MODEI=
SERIALO= -WW
IDT, 14 L0ENGTH= 70 HEIC,HT= 1
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ITEM DESCRIPTION - QUANTITY
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE -
4
**** *********K *********** 3***
1
PAYMENT SUMMARY
FEE- AMOUNT
- .
50,00
4450
0400
.*****Al.****4-* M * * ******4c.**
PAYMENT DATE 4 RECETRTI• PAYMENT AMOUNT
. — -
09/28/90 ' - 5981- ' - • . 62,50
OTAL DUE:= -00 TOTAL. PAID= . 62450
PERMIT' TypE FEE -AMOUNT -AMOUNT PAID AMOHNT nwiNG
MOBILE: HOME PMT 624-50 - -62450 - , 00
. 62.50 - . .625Q . •
. . 4 __ ..
-PROCESSED TY: WENDEL., GLORIA -
PRINTED -BY.: JOHN .ARSON
**K******)(***************K THANK yOU ***********KK***Y.****:*********
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