1992, 03-09 Permit: 92001345 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.
SIGNATU / / / APPLICATION 5 - a -
OWNER O AGENT moi( C;P ( DATE
PROJECT NUMBER=:: 92.001 345 I SS UED PERMIT DATE= 03/09/92 F'AGE== 01
**************************** PERMIT INFORMATION ************************3:***
SITE: STREET= 17120 E 3RD AVE PARCE::L4 19552-1205
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT OF SINGLE WIDE
PLATO= 000077 PLAT NAME= APPLE VALLEY ESTATES 1ST ADD.
BLOCK= i L..OT= 5 ONE III..- 7 DISTO=
AREA= re) 0000 E":A::= F WIDTH= ? DEPTH= 120 R/W= 50
0 OF BLDGS= 4 H: DWELLINGS= i WATER DIST =:
OWNER= WAGNER, JIM A PHONE=:: 509 926 2854
STREET= 17120 E 3RD AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= JOAN R CrL..►_1TE:: PHONE NUMBER= 509 926 2854
4
BUILDING SETBACKS : FRONT= 25 LEFT== 39 RIGHT== 5 REAR= 29
****************************** MOBILE HOME PERMIT ****•**a*****************ic*
CONTRACTOR= OWNER PHONE=
YR /MAKE= 1 992 MODEL.-- REDMAN
SERIAL WIDTH- 27 LENGTH= 66 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100..00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE `t' 18.00
***********3c******************* PAYMENT SUMMARY ***********ii********** *****
PAYMENT DATE RECEIPT G PAYMENT AMOUNT
03/09/92 1538 122.50
TOTAL.. DUE= .00 TOTAL PAID= 122.50
PERMIT TYPE FEE AMOUNT AMOUNT RAID AMOUNT OWING
_ _ _..__.____._
MOBILEHOME PMT 122.50 12.2..50 .00
122.50 122.50 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : WENDE.L.., GLORIA
**•******************•************ THANK YOU •*************3i**************3c****