HomeMy WebLinkAbout1991, 05-22 Permit: 91002816 MH 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 stat 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 / �'`�i DATE ' �f/f j
e�
PROJECT NUMBER= 91002B16 ISSUED PERMIT DATE= 05/22/91 PAGE.
P:)t)?':A*)!r)!-)?')-):::k):.)*•)+r)t-)'i'*•j?•1'r*i±r.•!i•!i•9l-i±i•je•;ii..W ;..,,...i:r'.%..`.. ,.i;, . .
: r'?;;.e.. ?... ? ?,P f..i.t?•;.?•'?t•.i ? .?:i..,i J N:•ti-4Y-12-;r•9t,.:•:t.•t:;.iY:.-:'?•4i.1>..p?•:*•i'i**:I.::..j:.*.Ie.±r*
:.i TE ! i STREET= 1 ,, '0 I h• -('LJA'( AVE .f±._: 17553—2807
ADDRESS= +..YP,I::.I::.NAi..:Rl::,.:• WA 99.:116
PERMIT USE= DOUBLE WIDE ± , , 1i ; HOME REPLACEMENT
f:'j t i y.•::: 002442 PLAT r.i n'.:.... `i(i:,'-• • Rr , .:•. MOBILE .
BLOCK= :.: LOT== i' ZONE= UR-7 DIST 4
OF i;cl...t/t,,,.... :;,• DWELLINGS=
WATER DIET ....
OWNER:::: GOWER, MARGO PHONE= 509 327
/}+._?r:
STREET= 1218 N SHERWOOD ET
AbDRESS= SFSOAKNERES WA
9920
00NTACT NAME= MARGO GOWER PHONE NUMBER= :(•j'.±} 327 40:
BUILDING SETBACKS : NT : NA LEFT= NN RIGHT= N ' AR:
NA
±::fit**'fir:!•*P:*:It t}`•r**K*;!i*?i--Pr i!;•1±r-j* +i**in**.j4 MOBILE HOM' ! 1P ' i *} (. :.. l y* *yk PNI ' } i ;1ii i1:
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= { t + xOd'
WA
UNKNOWN
yROAKE= 1975 SKYLINE MODE1 =
,:iEkIALO= WIDTH= 24 LENGTH= 36 HEIGHT= 10
ITEM EM DE,?{.:P .!. ' ! 1. ;N QUANTITY FEE AMOUNT
•
INSPECTION FEE 2 100„ 00
4 .50
STATE SURCHARGE
COUNTY SURCHARGE 16,00
):'ii-):'9.).:;;')t•)t)i}-)±r)%),•)+r it:p:•)er ! F'{!$i:-It iF) )?'):')-) 3f.) PAYMENT SUMMARY
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:L i: 5tL KL iyIt L {a *
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PAYMENT :%F-. ! :. i•t F:i.. I± ! •,±• PAYMENT ,f Mi,ti-tt', t
05/22/91 91i 31 5: • 120.50
TOTAL DUE= .00 TOTAL PAID= 120,50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
•
. ±1..;t:(ILE. HOME t"r1 ? x..I:?x..%it 120,50 _e';}+}
120, 50 1 .... x :10 .:00
PROCESSED'S�{:D BY : WEN l�: L , GLORIA
PRINTED±::.D B.t : WENDE , GLORIA
A
)_.**•}!:ft •Pr i.'fir)!r.-)I.• +i**)k i±r)?:*.}t.:,}....:...j�:,I(...................)±..jl. HANK YOU .*: .( i.. !*nsa . : * } .*. *. : .*n }} : e . . an
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SPECIAL CONDITION CHECKLIST
Project
Address: _____ Project# Use:
Dept: Date: Condition: mit: Appr:
' | | (in) (out)
| � '
Dept.of Bldgs. ' |
Gpeohdinnp Final Report
| |
Hydrant( )
| '
Lock Box
sngineorn RID/CRP
. }
Easements
{ --
Road Plans/Improvements
Bonds
! '
-- | --/
pmnningBonun
. `
Utilities Double Plumbing
ULID
-- --
-- .
( --
Other
``^~`~`^~``^~'~~^^~~^~^~~^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY^~^^`^^`~~~^~`_~~^~~~'```^^
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: .Certificate of Occupancy issued:
Office file review by: ________ . Date:
Filed insp finaled by: _ --. Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: _ Received by: