1992, 08-14 Permit: 92006240 MH 1
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 regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction. p /
SIGNATURE OF �-�� G APPLICATION 0 1/
OWNER OR AGENT DATE
`" ?: E : NUMBER-E • . s ; ;^ : obISSUED " R"I DATE-, a '• 4/ 2
i..'t.iiG#::.:::: 01
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SITE STREET= 3303 N VELOX RD PARCELO- 55064 . 0913
ADDRESS= SPOKANE WA 99216
PERMIT USE= DOUBLE WIDE E5OBIE... ::. HOME .... REPLACEMENT
PLATO= 000646 PLAT NAME= DONWOOD EAST
BLOCK- LOT= 13 ZONE- UR—7 ... .E.,_ .4.....
OWNER= HOLTEN, F.:AY PHONE= 509 926 6045
STREET= 33073 N VELOX RD
ADDRESS= SPOKANE WA 99216
t.:•.,•-: f••!t. !` NAME= E't:F•i Y "{t. 1... `! t t PHONE i'+;.Mi;;•,`::E 509 926 6045
BUILDING SETBACKS :
•1!:9+:*i!:9!:7C*i++.-?+i ji-1+: +r't+r 1+r)t••Rr?+;•}!:'}{}!i'J+: ¢'}!r a•.t+..h:'}i'•!+i'}t•.}£: moBILE t..•1_im•; FERmIT :!i**•t!:*i!t:)!i)4** +r*-F!i'}!i**ni:!L'* {•i'!:i!!r'}[•*i!k ia:
t••..•.ii,i•rR:,i..,..:..i« tJ f ` : fI Jti N PHONE=
ADDRESS=^ UNKN ,.tLdN WA UNKNOWN
1, :'i'2 LAMPLIGHTER
'' 'i `TER MC)D« A DMORE
YR/MAKE= ..:,. .... i...:•i.".i"E....t. Y i"E i E.".. .!•....ti I::. ...-' .i:.3.#`'1 ..E'4 E:'.
SER'..E.t•`(' .h.... Sxt t 1 i 11= 28 i ,iS i E i 52:' {••tl•• •' •.+•q !.ii+;.}
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
STATE SURCHARGE + 4.50
COUNTY SURCHARGE V ..}'t
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PAYMENT DATE t+.t::....l....t.E" E +r PAYMENT r•S•'#i.if.,?ru s
08/14/92 6550 122. 50
TOTAL 1:t.!t....... .00 t t.JT A! PAID.... '# + .r '5
PERMIT TY w " : : AMOUNT ( "tUNT PAID AE"'•i%E`s_tr T OWING
MOBI.I...I.:. HOME PM? 122. 50 122.50 .00
122. 50 122.50 .00
!"'I:Ot.:E.y-,.:•f_.?.1 BY : WENDE1.. . GLORIA
PRINTED t: f • WEN?t E 1...; GLORIA
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