1990, 06-12 Permit: 90002661 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 4568675, ,
!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 th provisions of any state or local law regulating nstruction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.SIGNATU.RE OF
(
OWNER OR AGENT `•� y - DATE CATION!
PROJECT NUMBER= 90002661
DATE= 06/12/90 PAGE= O i
PERMIT
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SITE STREET_ 6704 E 5TH AVE PARCEL*= 24531-2708
ADDRESS= SPOKANE WA 99212
PERMIT USE= SINGLE WIDE MOBILE HONE -- REPLACEMENT
PLATO= 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK= L..t:}_(.=- ZONE= IiMH i.;]:STO==
AREA= I -/A-: F :'
WIDTH= 56 DEPTH-: i7 k,W::= 60
* 01 BL..DGS::= 0 DWELLINGS=: 20
OWNER= DOTY, RICHARD PHONE= 509 924 881 i
STREET= 4218 S WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME== GREG BE::LJ... PHONE NUMBER= 509 926 0767
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT= NA REAR= NA
it*i********it***.k:-..h..n..h..x•ii**.a.k*ii•**• MOBILE HOME PERMIT *ii ac•.kii•**.*3**.*.3--.-•*—X..h..X*3..k.u. a e.r;;.
CONTRACTOR= OWNER
YR/MAKE= i959 FL_AMIGO
SERIAL..*
PHONE==
MODEL=
WIDTH= 10 LENGTH= 50 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
INSPECTION FEE: 1 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 8,00
e iiyrik iiiiiiav}ir iiiiiiE k 3kiiiiPAYMENT SUMMARY §u
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PAYMENT DATE RECEIPT* PAYMENT AMOUNT
06/12/90 3191 62.50
TOTAL DUE= 800 TOTAL PAID= 62.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
iOBILE HOME PMT 62.50 62.50 .00
62.50 62.50 00
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: JULIE Si-IATTO
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