1991, 11-26 Permit: 91008239 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 state or local law regulatin construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF WA-/
. e APPLICATION ///4(..0
DATE OR AGENT
}
PROJECT i`)#_?i"ft:Si::.?•,;=
9'i i.:%0 :5 39 ISSUED . `ERMI DATE= 11 /26/9i `f`?ts4:=01
.......... .................... .. ..........:1! t,k Imo,,•-�,N.`..` .«
9!:4{-3r•tk 9t 9t•:!!:7C 9!:7+.•?,•.,!•.:,;..P::!`.'•tB??-9r)t..?±•N:N•9?•9k A..�. i`.#'i?'t... e .i.#V t--#_??'.?`#i•; i .?,1.# t? N..f,.??•4;'12.1t..tl 1!.2..:t{.**.j{..j...fi 'R'Yt i?'9':'1F)t Pi f!•).'9k'7t k•:!.'
SITE STREET= 18812 E::. VALLEYWAY AVE PARt:.L......::::.. 1755:3—:2.70E3
ADDRESS= ;.=EENACRES; i,,i'i 99016
PERMIT U,•#::.::: SINGLE i4t,ttr:. MOBILE }"t.?}'#?:
1 4 : 002442
r: ex2 : AT NAME= S? t ?? ! w , S MOBILE
ti ? , 1PARK a
is{I...00EK:.. LOT= ZONE= UR- DIET4=
AREA= 00000000 F/A= F WIDTH= DEPTH=
... OF ....
0 DWELLINGS= WATER DIET =
OWNER= _ { " BREWER/TAMMY M: i —t PHONE= 509 :•,•-- :-.:•. . :•.
STREET= 18812 L:. 4'`riE...t...i •YiNf ? AVE
ADDRESS=
: R,.«._Nn—R„-„ , A 99016
t••? ? .t�Ct:.�.:,,..: tx,tt...l::.:v!•}#..:?•;:?:���. uii'-!
CONTACT NAME= JIM BREWER OR TAMMY MILES PHONE NUMBER= 509 922 2260
BUILDING SETBACKS : FRONT= :Y LEFT= 5 RIGHT= '. t"?t•;.:::: >
*•t!i'Pr lt'•R•lei lei**•p.•* ej**•7!i'*;f••it•!{•h:'Nr•N:'-t!i)¢J,r;!r'hi*:uj•}i• MOBILE HO m F. .+r , ......} t':!!:'tt•'P:'�+:'},;;r.}:N:9t'?::!!:it'
,••#•_#•{r'#i. ! !!:'!{lk'i•9t•tC•P:..,..p::tt.:t+.•y,..!,.Vit.•!
CONTRACTOR=: OWNER PHONE=
YR/MAKE= t v i:i.1 MODEL=I i COZY
it'i'!••E... 14 1...E:«I:iG H::: 7 E iL :l.l.xts'i'::.. i i?
ITEM
E`'1 t'>'r.:: C t t°1:L 1';:�:N QUANTITY FEE E A+~ic:t t,i N T
INSPECTION F•'.I::: 4 .50
ETAT I:2.: SURCHARGE
COUNTY SURCHARGE Y` :3..00
:,e* t.:::,::t.: ''. ;.:t.:t.:t.:t.:;. ::::::'.lt•*lr li•iu•lt•.•'tt.-l+.'lt.n.,* f:t:.'y i- N i t I i�N t'`R'x` *********K************** **;e{•l;.
....t.r:.tt.teiel.!.t.t.t.t.ltter.x ? . . . .}I.«. . . ,..t...t...'#t't
PAYMENT DATE E RLE:"..t. -'T i;; PAYMENT AMOUNT
11 /26/91 26/91 90o ,f 62 .50
TOTAL DUE= .. '.:'t.' 'T 07112.1 f+A,I... PAID=
PERMIT TYPE i”C:E AMOUNT: A?'it. UNt I PAID AMOUNT t..il ...t; is
,!OBi.i..t.:. HOME PMT 62.,50 62.50 , 00
62.50 62.50 .00
PROCESSED I..'Y . ............F ".i••tr•:,T.`.?_t
PRINTED B JUL i• .x'3..1;;?T;O
:p.:*********************:********** THANKyou ********************************K
~- `~
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: |nit: Appr:
| / (in) (out)
| |
Dept.of Bldgs.
Special InspFinal Report
Hydrant< >
| '
Lock Box
_-|
- -- ' --| --
Engineers RID/CRP
' --'
Easements
Road Plans/Improvements
Bonds
. .
/ .
' --
Planning Bonoo
--! --
Utilities Double Plumbing
/ --
ULID
-_/
Otho
-- |
' --
`^'~^``~`~~^``''^`~~`~``THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0FOCCUPANCY ONLY````^~``~'`~^~`~'```~^``
Date received for C/O procesing: 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:
No response moponxefmm owner/contractor plans destroyed: __ --_-- -----'