1992, 05-06 Permit: 92003134 MHSPOKANE 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
Ipws regulating construction. _
SIGNATURE OFJ (� APPLICATION
OWNER OR AGENT C fl -L-4-4-4-4. T 1-• �1[Y DATE 6 -6:9z
PROJECT NUMBER= 920031:34
ISSUED PERMIT DATE= 05/06/92 PACE= 01
***************) ********* ** PERMIT INFORMATION ************************ :*'
SITE STREET= 17210 E 5TH AVE PARCEL4= 19552-1908
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT OF SINGLE WIDE)
PLAT; = 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
BLOCK= 4 LOT= 8 ZONE= UR -7 DIST4=
AREA= 00000000 FiA= F WIDTH= 83 DEPTH= 120 'RiW= 50
4 OF BLDGS= i 4 DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRC; 4i
OWNER= HARTFORD, LOUISE
STREET= 17210 E 5TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= LOUISE HARTFORD
BUILDING SETBACKS: FRONT= 25 LEFT= 48
PHONE= 509 924 9519
PHONE NUMBER= 509 924 9519
RIGHT= 9 REAR= 39
************************•r:***** MOBILE HOME PERMIT *******. .,..* i*************
CONTRACTOR= OWNER
YR/MAKE- 1992 NASHLJA
SERIAL.4=
PHONE
MODEL= VILLA
WIDTH= 26 LENGTH=. 56 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
******************************* PAYMENT SUMMARY ************************:...»*
PAYMENT DATE RE:CEIPT4 PAYMENT AMOUNT
05/06/92 3352 122.50
TOTAL DUE= .00 TOTAL PAID= 122.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50
122.50
PROCESSED BY: JULIE SHATTO
PRINTED F Y : JULIE SHATTO
122.50
12.2.50
00
.00
******************************** THANK YOU..*x.*.h..R..A..h..a..R..a•ii•.j{.'F:ii•.jj:.j(.**'P:'A:******l4-*****