1992, 11-18 Permit: 92010126 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 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 NUMBER= 92010126 ISSUED PERMIT DATE= 11i18i92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 914 S WILLAMETTE ST PARCEL= 35233.3107
ADDRESS= SPOKANE WA 99212
PERMIT USE= MODULAR HOME - EXISTING SINCE 1989 -- TITLE ELIMINATION
PLATO= 003533 PLAT NAME= ALCOTT GROVE
BLOCK= i LOT= 7 ZONE= UR-•3.5 DIST;= E"
AREA= F/A= F WIDTH= 70 DEPTH= i37 R/W= 50
4 OF BL.DGS= 4 DWELLINGS= i WATER DIST = CARNHOPE
OWNER= CHANEY, DARLENE PHONE= 509 535 0840
STREET= 914 S WILLAMETTE ST
ADDRESS= SPOKANE WA 99212
CONTACT NAME= DARLENE CHANEY PHONE NUMBER= 509 535 0840
BUILDING SETBACKS : FRONT= 25 LEFT= 5 RIGHT= 13 REAR= 84
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1989 GLEN RIVER MODEL=
SERIAL:= WIDTH= 26 LENGTH= 52 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
11 /16/92 310 122,50
TOTAL DUE= .00 TOTAL PAID= i22.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT i22.50 122.50 .00
122.50 122.50 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************