1990, 08-29 Permit: 90004271 MH SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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
I 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT � Ctz/� .4 �j DATE lJ U
PROJECT NUMBER:= _.. ..J`}') . ... .. ....:.: ` .. .
ISSUED PERMIT
tt:.J : **a: sa JaaJ1H1t) } jjj *jj jPERMIT IJfti " t . f; f :: J : ij ! jj:} jShj:.,j.. **: j ¢a : :*jf
SITE : ;1i . - :: : 1 ( r tA Y n 'LC r { r- # •• . ._ ._ . 1
ADDRESS= i.-I'CEF:.I`:1-'Y[.:!'t:f. : t4( 99016
PERMIT '..! }t-= DOUBLE t-Atf-t;!:; mnBTLE i _ ... ... s _
PLATO= 002442 PLAT NAME= ,;t..!i.! ! h't.::R t`J ' =s MOBILE PARK. A ,;,
BLOCK= 1 LOT= 4 ZONE= r 'ti•• - t'} c; i,
j.:;:.,,:t::.A= 1-/A= !.. WIDTH= TO DEPTH= 120 -,;/ :,i=
•tt•
!. ;
OF t.• --{: t}i:r,:>>'�� "' DWELLINGS=
OWNER=
bv `. tit $ tK ; ` , Rx. , PHONE= —iJ 926 2482
'= s R E i♦:. f _.. 18807 C:. H(•1�...�...t::.'€;:t}f':{f f_Y V s:',
ADDRESS= GREENACRES WA 99016
CONTACT
NAME= M G 1g ;; PHONE NUMBER= .. 2482
BUILDING SETBACKS : FRONT= EXIS LEFT= EXTE RIGHT= 1::.%•..l.,:: REAR= t:::.?, I :'::
a; an 9Tt: : Ji9 : PR t ? t !H A : 1 ::,l-..PvMOBILE
; "ILE "1 ' E PERMIT pnj: i ** ( ijqj: j: jjF: } * (
...R= OWNER PHONE=
. YR/MAKE= 1974 SHELBY MODEL= COMMODORE
.':i::.R.i.t.a#...°i,..... t,,t T.!,)TH:::: :24 1...t'.N I„Y T l..t 56,ti ••I:...`_..l..r H T= 10
ITEM EI” D1:St.:RIj: tIt.!N QUANTITY._ FEE AMOUNT
STATE SURCHARGE Y4 .50
J
COUNTY SURCHARGE Y 16.00 I
k*9999Nh? 973h 7 ! k s1 9 3s9i )
tjt tt ) PAYMENT t M • Y 9:1iS :'n.•:-F{: ) 9i ii19 *1i:Ji9 : 5 :) r1 �i
08/29/90 5096 120,50
TOTAL DUE= .00 TOTAL PAID= 120.50
PERMIT TYPE 1::.1::. AMOUNT AMOUNT PAID AMOUNT !}ix , fiHi T
1 MOBILE HOME P!''l..1. 120.50 120.50 ,00
120.50 ?!0..... .. j_•:;:.
PROCESSED BY : WENDEL , GLORIA
PRINTED BY : jOHN LAREON
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********* **********K*********1n•i!::fl: THANK r••,,�}I'•, 4�:�i..