1992, 06-10 Permit: 92004213 MH SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKAN6.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 �Q �' APPLICATION
OWNER OR AGENT ,W.--72c21:5 SES 7 DATE
PROJECT NUMBER= 92004213 ISSUED PERMIT DATE= 06/10/92 PAGE= 01
3 ************************** PERMIT INFORMATION **** ***********************
SITE STREET== 925 S WILLAMETTE ST IARCEL.O= 35233.3209
ADDRESS== SPOKANE WA 99212
PERMIT USE= DOUBLE WIDE MOBILE HOME -•• REPLACEMENT
PLATE= 003533 PLAT NAME= ALCOTT GROVE
.BLOCK= �? LOT= 9 "t".ONF-. UR-3.5 I)IST4 E:
AREA= F/A:=: F WIDTH= 71 DEPTH== 11 ti R/W= 50
4 OF BL.DGS== i 0 DWELLINGS= i WATER DIST = SPOKANE, CITY OF
OWNER= BEITY, L.INDA �y PHONE= 509 927 8€826
STREET- 12422 E MANSFIELD AVE 4082
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LINDA DEITY PHONE NUMBER= 509 927 8826
BUILDING SETBACKS : FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1992 FLEETWOOD MODEL= BROOKFIELI)
SERIAL•= WIDTH= 24 LENGTH= 48 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 RECEIPTS: PAYMENT AMOUNT
06/10/92 4406 122.50
TOTAL DUE=:: .00 TOTAL PAID= 122.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 122.50 .00
122.50 122.50 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL., GLORIA
******************************** THANK YOU *********************************