1991, 07-12 Permit: 91004178 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 I/,/ /
OWNER OR AGENT % fre_ce4... —APPLICATION
� DATE
?";%.?_E?.:.t.: ; NUMBER= 91004170 .?.`.S i..??:'i i PERMIT t lr=a i ±;;= 07/12/91
'.:.J 1.'.::.+•.:..,:,. ?4 ! i ? 1 ) *• : t 7 t s : :. FE R ' i % INFORMATION ! : ii . .t ! t :N ! ! 1t :t.....+}....},...:,,...:.1...
SITE STREET= 920 WILLAMETTE ST PARCFLO= 23533-3108
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;.;1'il!'{?::.::,.i.... SPOKANE WA 99212
. ,.. .;.M 1 t USE= N.=. t DOUBLE i;tl r u;.t.t??::. ?"!?.1B.t..•••?- HOME
PLATO= 003533 PLAT I`?A?"tt::.:::: AL�.'.3.)• •` i• t•'!i w t-- ,.
BLOCK- � LOT- .5 {ONE= UR-3.5 .i,�.,t
REA= F/A= F WIDTH= 70 DEPTH-
0 ;...±-- 4 ilii:l••j...t 1`•1,.:!,:+:::: WATER DIET = ...'::;1•{i••d Y•t 1..t..'t::. ,
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OWNER= LEO ALBERT CLARK TRUST PHONE= 509 535 9905
STREET= 901 S W.ILLAMETTE ET
ADDRESS- S Oi' f`';N{:, WA 99212
CONTACT i'ys.:±?"?t::.:::: RICHARD CLARK / TRPHONE ..
FRONT= 9 535 9905
42 .. 29 RIGHT= 11•'11. REAP=
BUILDING SETBACKS :
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YR/MAKE= 1991 REDMAN MODEL=
SERIAL4= WIDTH= 28 LENGTH= 44 HEIGHT= 10
ITEM DEECRIPTION1 i-i�'4,TIT{ FEE AMOUNT
ETATE SURCHARGE 4 ,50
COUNTY ,::'..?R{, 1' f"}t'•:t:r?::. ( 16, 00
........ ............... .................}..,..},..+..}...+,..I:.:Ij.:i.:.j.:!.3j. ;::�;`;y'+{'�v:i::'t:i'� 't i::y�':,:'y •ij.: •..1!..!.....!,..},..+...!+..+}..'..++..,. '..+...: .,!.. .,}.
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PAYMENT ..DATE.. Ri::•i.......... . .. PAYMENT AMOUNT
07/12/91 4671 120 ,50
.r , 1.-EE ;.:±i'•i I.1 i,i N T AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 120,50 120 , 50 , 00
120, 50 .. .. .. ... .. .. .. ..
PROCEESED BY : JOHN LAREUN
PRINTED BY : FORRY , jEFF
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SPECIAL CONDITION CHECKLIST
Project _
Address: ____ __Project# ._____ _Use:_ ` __—
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
_—______ _____ .— — Special Insp.Final Report_____.
--_.__-- _ _-- -- Hydrant( ) -- _ _.__.- -------_
— -- — Lock Box --_ --- __________
•
•
•
Engineer's _ RID/CRPEasements
Road Plans/Improvements___
• Bonds
Planning Bonds — —
•
Utilities — Double Plumbing
_ ULID —
Other__
******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY 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:__ _