1991, 03-29 Permit: 91001484 MH AMWWWW
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKAI4E,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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF � A APPLICATION 3 2 S 9
OWNER OR AGENT �.t.� ���hhh -K-CJI DATE
: . ? E! T NUMBER= 91001484 , . r ? PERMIT
i 01
: *J *ih?: r ) Js ?J . ! ?J . : 4a *J :;aa . PERMIT .j _ t" d rON kJ* :****) **) :*F1 ) ) : e) t:**** t**
SITE STREET= 816 E WILLAMETTE ET PARCELO= 23533-7103
ADDRFE,:.. •' SPOKANE ANE WA 99212
PERMIT USE= DOUBLE W.i.:.'i,:. MOBILE HOME
r....,.
PLAT u 1"E NAME= , . J F 1.4_.
{...
ROVE ,
BLOCK= LOT=^ :'} :)i''+;E i't' •ti.. DIET
AREA= t.:E= FWIDTH=
V : ` Ht
yi z , 1 :» . DWELLINGS=i ^ ' WATER DIST . .A :
: ! t
tx ` i " :j ( ' ' . J. 927 07 :
STREET= ! . BOX + '
ADDRESS= GREENACRES 1A11--`: 99016
CONTACT NA"r . )1'.a @ ,r IBE :r ; PHONE DUMBER; j ; :
_ . 0599
BUILDING •k:. { 5;;.•:j,.K;. : FRONT= ....... i " 5 RIGHT= .. REAR= 36
s ?* ; { !3 *h.s: : : .. *: *:, hy ) x*P* MOBILE ( M^ PERMIT ) AR) ) 4 4 t iPk4 : " ienc" f, jPi PPs
CONTRACTOR= UNKNOWN t i'it,N :::
STREET= UNKNOWN .
('i.ti r`1 i•':;:.,.`.•'. .. UNKNOWN WA UNKNOWN
YR/MAKE= 1991 "A {{ , T:
MODEL=
: -RI . , ._ WIDTH=
rD _ 2; LENGTH= ,{ r » `Ey. _
- . ..
ITEM DESCRIPTION QUANTITY FEE AMOUNT
'INSPECTION F.LE 2 00,00
4 .50
STATE SURCHARGE
COUNTY SURCHARGE 16.00
*****v.:******* ***:********* **** - ` I" J SUMMARY ) f) ) ) J) ***it**) ) jt t) *Jt h) yx
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
03/29/91 1672 120,50
TOTAL
":,:E= ,::: .........:. . : :�} 50
r,
PERMIT TYPE E••i••, AMOUNT i;• T A i E1 tN E PAID AMOUNT OWING
MOBILE HOME PMT 120.50 120,50 .00
120.50 120.50 .00
PROCESSED + ,
WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
, ; : ? ? ? ? ; ?PrNJ:*N . "PxP " at i: N ) 'Pk P) tTHANK Y l . **4************************:*******
I
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs
Special lnsp.Final Report
Hydrant( )
Lock Box
_- -
Engineer's RID/CRP
Easements
� Road
Bonds
Planning
_ Bonds
_- -
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 afteC/O issuance:
Owner/contractor called regarding the return of plan . Date
Plans returned: .Received by: _
No response from -plans destroyed: