1992, 03-16 Permit: 92001544 MH SPOKANE COUNTY DEPARTMuIT 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 L
,..,;...:.., i,...:..,.i NUMBER= : PERMIT
i ;
............ ............ .. .. .. . K •:.if..ii..i'.:::,•.:".:'. :+::i.: :i.: i+: :?t::?+::!,::,j..ij.:,y::,j.:: :,j.:i.:sj.:!}.:!i.:�t.:!!:::.:�?:::'.*
.,,..,!.;,.;.}?..,?•:!`::?:.?r:,•..p•.,,?,.}?;.}!..}!:•!!:9?':?1c•7+.,•.r•. a. P. :+. ?+.!+.ini'1+r t' .,#`3^i.i. .?"?#"i .?.(1 i':3 .+.f.F.��+.•f.A:.. .. .............7'l+r,.:.:........... .... ..
i:. . .._ rTN, :... i... ! . , i# i
-? i i :' P i•:?'::. 22 .::::
..... 17553-2405
ADDRESS= i_"!r'.?::.?::.?'+..(-'i i..•. ._..... WA 99016
PERMIT USE= SINGLE WIDE MOBILE HOME (REPLACEMENT )
PLAT4= 002442 PLAT NAME= t..F,;i i i H••i"i t`:! ` 1"?1..1 T; 1 i.. i..=A>>;I: ADD
f
•
BLOCK= ... i
AREA= 00000000 WIDTH= i I'•I.:::
OWNER= i; i••! ELIZABETH PHONE= 509 2 2670
STREET= 10720 ' E VALLEYWAY CT
ADDRESS= GRFFNACREE WA 99016
CONTACT
O - 2 ELIZABETH
FRONT=BUILDING SETBACKS : EXIS LEFT= EXIS RIGHT= EXIS REAR= EX......
...... ........ ..........: '.:i.:::,::i.:i.:'.:i.:'.n'.:::,', "m i '}" :,i.:tr.*:i.:,i.:,j..ji.:t,".:,i.:.i.:,i.ryi.:R.:?i.:ti.:?i. :i.:!:.:,i.:t.:?i.*:,i.:lj.*
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1991 MODEL= NASHHA LIMTTFT)
SERIAL4::= WIDTH= 14 LENGTH= '{!?ri HEIGHT=
IT:En DESCkiPilUN QUANTITY FEE AMOUNT
INSPECTION Fp*: 50,H
COUNTY SURCHARGE
.. .. .. .... ........ ....... ....::: ::::* '.:'..i,:.i'.:i. :,+::j.*:?i..f..;{* j.:t+-:,i.'i.:,r.:,:.ji.*i.::,i.*ii..ii.* i::i.:?i.:!:.:,i..�?:.�+.
;!!; :')t•)+;:n:'P:'f+:7?::++:')t:n:;?;;?,..lt.:tY P.N.}•. A.f+.:-. r!. !-.'}`:•P:9+:P; ?..•#�i-#;"S:•i'•! ? :::t..�(•,}t:,}#::z F�` ..1. .. ..a...:.). .. ..4... .+..... ....:... ..!.}.....
PAYMENT DATE 1.d.•11•• 1 P PAYMENT AMOUNT
................................................
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
63 ,50 63 , 50 , 00
PROCESSED BY : 'i s
PRINTED BY : JULIE SHATTO
. .... .. .....................:....a,:.i:a ::.::r:.':..t'.: :,i.:?y::?+K ag:i.:,+::•.a:.:y::,{. *, :!+::, ii.:,i.:a.:. :.{.:, :,{.: :!i.:i.: :++r 9.
.!...;,..�...;?,}+..,...,?..,,..}!_ .??::!?:.?:^,;}!..!?.:•. :?,? 7-.A 1•.')�..+. t!: i''lt:1: st; THANK you .... ..1...f...I'.....:. :... .. ,. .t'1. :. :........... :. .. .. i?:..}.7+:.