1991, 04-12 Permit: 91001794 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.
SIGNATURE OF LICATIONS`/
OWNER OR AGENT / DATE _ 97
PROJECT NUMBER= 9.1001794 ISSUED PERMIT DATE= 04/12/91 PAGE= 01
h:•*it**at fir k•9i•ai•*ri*****ii•#i@*R•#k ii ii a* PERMIT .E. T: .
!�.F"f l Hti tyl f� ! .L!.i v u•k ii•it it)>:it)t*is it li k•***i!•*ii•ri•*ri•»•3i•}i•*ri•»•
SITE STREET= 13207 E 6TH AVE:: E'r.`aRCE:.I...•4 22541 -0470
ADDRESS= SPOKANE. WA 99216
PERMIT USE= DOUBLE WIDE: MOBILE HOME
PLATO= 001800 PLAT NAME= NULPH ' S SUB .
BLOCK= LOT= ZONE= !.IR....:,'.,A.'i C)1:ST„:=
AREA= F-'/{. F WIDTH= 75 DEPTH= 150 R/W= 50
0 fir:' T:tI...fGSv: 4 DWELLINGS= 1 WATER DIST =_
OWNER= BARTLE, LYLE PHONE= 509 926 2809
9
STREET=$TREET= 13209 E:: 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LYLE BARTLE PHONE NUMBER= 509 926 2009
BUILDING SETBACKS : FRONT:-: 30 LEFT= 10 RIGHT= 24 REAR=R:. c,4
a>: :*#• b• x*u****x •*•1E 3i• :**•x**i{••x••aR• -•K M O.B:I:I...E:: HOME F'E:.R M.I.T *•h*j{•h•*•R•**.*..A:.1!.' **k*H:it* .*..A..**•P.•
CONTRACTOR= OWNER PHONE===
YR/MAKE= MODEL..
SE"FtIAE_.1 :=: WIDTH= 00 LENGTH:::: 00 HEIGHT= 00
ITE'ri DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.,00
STATE-. SURCHARGE 4.5:0
COUNTY SURCHARGE: Y 16.00
aiRri•Nk••r.k*ii•**••}i•*)i•*******.*ii•*m3i•**** PAYMENT SUMMARY ,i.** •u**•*• •*****ai*;i•' •*ri**;i *',i•
PAYMENT DATE RECE:I:F'T O PAYMENT AMOUNT
04/12/91 2036 120.50
TOTAL.. DUE:::. .00 TOTAL PAID= 120.50
PERMIT TYPE:: FEE AMOUNT AMOUNT PAII) AMOUNT OWING;
MOBILE HC:IME PHI' 120. 50 120.50 :.00
120.50 120.50 .00
PROCESSED BY : ... ...ILIE SHATTO
PRINTED BY : WENDEEL.., GLORIA
* :•r x** i•*A********u t';*x :•*u••x•v:•x*x h*tt THANK 'Y`O i.,i •i4 ik ie ik*iE**•h; ••;ar•k:dk 3i•*ri••h:*•h ri ik•k•k :-*•H. ik••u: :•i>:.0 ii•
SPECIAL CONDITION CHECKLIST
Project •
Address: __._ — —_. Project# _ ___ Use: —_ —
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
—_-- _ Special Insp.Final Report _ __ _
— — Hydrant( ) — -
-_-_ Lock Box_ — �_- --- -------__--.—___ __.--
....
Engineer's -- — RID/CRP T--
Easements_
Road Plans/Improvements
— Bonds
•
Planning
ULID
Other —
•
.••`•*•`•••* *•`**:* ';TH,ISSPAQ.EF,O,R.COMMERCI;iSLP.ANSTRACK.ING,CEFTIFtCATE;QF:fJCGtJPANVCYON1.:Y:*****<......<"***************
...
Date received for C/O processi.n :r .•: — _ Ptah$;pul.1ed("fo€,final:' roressin
Temporary C/O issued " 0• —_—_ .Certificatedf Occupancy issued:.-- '
Filed insp finaled by: _—.__—_-- ------_---_-_-- . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: __ ___._____ Date
Plans returned: — Received by:-- ---------_---_-----------_—__.____.__-__—
No response from owner/contractor-plans destroyed: