1992, 09-09 Permit: 92007169 MH Cover . ^,
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SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE �
SPOKANE,WASHINGTON 99260
(509)456-3675
/vomfvmat/hu,ouxammoum/nnmm/vonpnvaoon.otummunoomm,muuonvontumeumnonuuvomntouuvmoonnvagentmvompnoaumv rmit/application is true
and correct, and authorize Spokane County to proceed with processing. In additionI have reaand 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
OWNER OR AGENT DATE 'I-f --1Z
PROJECT NUMBER= 92007169 ISSUED PERMIT DATE= 09/89/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 17309 E 4TH AVE PARCELO= 55192. 1212
ADDRE%%= GREENACRE% WA 99016
PERMIT USE= MOBILE HOME COVER
PLAT4= 000077 PLAT NAME= APPLE VALLEY ESTATES T ADD.
BLOCK= i LOT= 1 ') 7O E= UR- DI%T4= G
AREA= 080i0400 F/A= F WIDTH= 80 DEPTH= 130 R/W=
0 OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= BOWER, GLEN PHONE= 509 928 0855
STREET= 17309 E 4TH AVE
ADDRESS= GREENACRE% WA 99016
CONTACT NAME= TOWN & COUNTRY - RICK COOK PHONE NUMBER= 509 535 9016
BUILDING SETBACKS : FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
******************************* BUILDING PERMIT ****************************
CONTRACTOR= TOWN & COUNTRY BUILDER% INC PHONE= 509 535 9016
STREET= 5918 E TRENT AVE
ADDRESS= SPOKANE WA 99212
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITE= i OCCUP LD= BLDG HGT= STORIES=
BLDG W X D = 36 X 50 %Q FT= 1800 SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- ----- ---------
COV DECK R-3 VN 1800 12600.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL VALUATION Y 144 .00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 25.92
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/09/92 7498 174.42
------------
TOTAL DUE= .00 TOTAL PAID= 174.42
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
BUILDIHG PERMIT 174.42 174.42 .00
------------- ------------ -------------
i74 .42 174. 42 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
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