1990, 10-11 Permit: 90004345 MH SPOKANE C0UNTTDBPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
. (509)456-3675
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 authorizes Spokane County to proceed with nmommmn 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
� .
PROJECT DATE= 10/11 /98 PAGE= Oi
I%%UED PERMIT
**************************** PERMIT INFORMATION ********************** ****
SITE STREET= 14610 E WELLE%LFYAVE PARCELO= 02542-0907
ADDRESS= SPOKANE WA 99216
PERMIT USE= SINGLE WIDE MOBILE HOME
PLATO= AO2677 PLAT NAME= TRFGRCHARD%
BLOCK= 3 LOT= ZONE= AGRI DIET-;!:=
AREA= 000i1500 ESA= F WIDTH=. iOO DEPTH= 115 R/W= 60
� OF BLDC.; INi,%=
OWNER= DEAN, ADA PHONE= 509 924 2484
%TREET= 472i N ADAM% RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ADA DEAN PHONE NUMBER= 509 924 24R4
BUILA)INTBACK% : r~~`'-= 25 LEFT= 71 T= 15
***** ****************** ***** MOBILE HOME PERMIT **************************
C�;TRACTOR= OWNER PHONE=
YR/MAKE= MODEL=
%ERIALI= WIDTH= 00 LENGTH= OO HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMl!]NT
------------------------- -------- ----------
INSPECTION FEE i 50 ,00
%TATE %�5CH�R�E Y ' 4 .5O
COL;NTY-' ~CHARGE Y 8.00
******* *********** *********** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT� Pr AMOUNT
9/O5/9O 5256 62.5O
TOTAL DUE=DUE= . 00 TOTAL PAID= 62.50
ERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
------------=-- ----_`-------- ------------ -------------
MOBILE HOME-PMT . . 00
----------_-- ------------ -----_------
'5O - 62 .5O .00•
'
PROCESSED BY : FURRY , JEEP
� /
PRINTED BY : JOHN �AR%ON
******************************** THANK YOU *********************************
'
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
_ Hydrant( )
Lock Box
Engineer's _ RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning _ Bonds
Utilities Double Plumbing
ULID
Other _
i
1 *******************************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:
No response from owner/contractor-plans destroyed: