1992, 03-09 Permit: 92001355 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 thatthe 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
ATE
`Eii:j:.1E"CT NUMBER= 92i?0;%,:>.:i ISSUED PERMIT DATE= ` ;: i '!
PERMIT INI`OrtMf ! i.I.Of i
SITE 'T'RE:E:.i.._ 19207 E MONTGOMERY AVE E:`ARCt:' L.. r= 08552403
ADDRESS= OTIS ORCHARDS WA 99037
PERMIT USE= DOUBLE WIDE MOBILE" HOME. - REPLACEMENT OF SINGLE WIDE)
PLATO= 000146 PLAT NAME= BARKER ROAD MOBILE HOMES iST A-
ARE:.Q- E/A= A WIDTH= 40 DEP-#•H:_: i24 F /W::::
OWNER= COREY, DONALD PHONE= 509 Y , 26 i710
STREET= 19207 E MONTGOMERY AVE
ADDRESS= CT1S ORCHARDS � � 9907
CONTACT NAME= DON COREY PHONE NUMBER= 509 926 :# (:i
BUILDING SETBACKS: FRONT= 30 #...#:::FT= 51=+ RIGHT= 20 REAR= 50+
ri �• �• �• �;. *• � 3;. •i�: �• � ar• �• x• � � � ri• �- ;� � �• 3� yc ar• � � a� �• �
MOBILE
iEE#EHOME PERMIT Ei"fi P• ?t• 1t �• # !0. 3h ii• ii• ii # �' M• �• •1!' iE $t• �• ;e• }!' iF # �' iE iF
CONTRACTOR= UNKNOWN PHONE=---
STREET=
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1992 KIT MODEL::-.:
SE::E;.T.F1E_O=:: WIDTH= 28 LENGTH= 48 HEIGHT= 0k. -'i
ITEM DESCRIPTION QUANTITY FE"E:. AMOUNT
INSPECTION E=EE. :._ io 00
STATE:: SURCHARGE Y 4 •, 50
PAYMENT t #. f t i M A R Y
PAYMENT DATE
REC:EIPT:M
#-'F9'i'{MENT AMOUNT
03/09/92
Q43
Q256.)
TOTAL DUE::::
.00 TOTAL
PAID=
i2250
#=`#..RMIT TYPE:: FEE
AMOUNT AMOUNT PAID
AMOUNT OWING
--------------- -_-..-_.__._.._._
MOBIL..E HOME PMT
-_-_..
i22.50 122.0'-)
., 00
-------------
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: JULIE SHATTO
THANK Y O i _I Il i{ N iL �k �{ F i b: � 3{ Jh b A: 9i• I0. jl }4 iF A: 9t if P: P � R P :A �{. •b: � Jk b: