1991, 08-21 Permit: 91005189 MH1
SPOKANE COUNTY DwcPAR TMENT OF BUILDINGS
W. 130a 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
OWNER OR AGENT �� , APPLICATION %////11J1
�1 ! /__ 5/
CCCJJJ DATE O�
PROJECT iVI,Jf3!:{::.R:::. 9100::189 ISSUED F:ER!"!..!
DATE= 08/21/9i Ai«..._.. 01
vt1r 3nntr*tt 3iii : : : iar ier : ** PERMIT . !RMa •r * is J: >t• it it ar }r •u• it * •Jt- ): n- X is r. t- :'• :r •rr u• ar • : * a: it• *
SITE .:rTi' EET"u 4502 !::. 7TH f l t; i :. r, f -i !"•. C:':. L .. 23532-4415
ADDRESS= f"ti)>.:Ji':i::..::.. SPOKANE WA 99206
PERMIT USE= SINGLE W _: w• E MOBILE HOME
PLATO=
AREA=
r:.t=
000323
15
PLAT wiAME:::: C.ARNHOFi ADD
OWNER=
WNER:(fJR-irE N E ; RANDY & :1YN PHONE= 509 974
74
7.49.-)
TR[t-= 1120 N UNIVERSITY ....
RD
ADDF'E,:::: SPOKANE bJr'A! 992::06
t.r o ' r CT NAME= RAtI"C rU R , iA3N E PHONE ?_"BfVi:
509 924 ,h.t}7•,,
i.J .l. l...:! .t. tv G SETBACKS: FRONT= r....> RIGHT= 5 REAR=
* •i!: •ii..A. p;..p..h:• ii .. * )1 .) *• Jc if- * * •* * •i{ .yt..k..i * .it .it .......i{• MOBILE i"i C. j i � E i"` i. R ;'i T j. }.• * ii• •li• ]i..p•..p. 3,..)i :e * •....:...A.:......j;....)?• :n:.; *iii(• •ii•
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN N W! UNKNOWN
YR/MAKE:::::
PHONE..
WIDTH= 00 LENGTH= li {': HEIGHT= 00
(.J
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 50.00
STATE St.Ji•{.t.ri"i!•a!•' Gt::. 4,50
COUNTY UNT SURCHARGE T 8.00
il• ii ii itli It• i!• ft' it- ii 3'i ie- is r- �• 13• T• }?• ii ?':• i!i ii it ii •ib ii li !�. i!:• i!• if• Jt PAYMENT SUMMARY 9t• iL• h. *.JE 9k ih Jt it• 1:• )t• ti' )i- * l` t JL• * it 1 Jt- ii' * lE ji• ai- it; (•
PAYMENT DATE i";('.C:L:.1.PTO PAYMENT AMOUNT
08/21/91 rr
996 62.50
TOTAL 1.!Ul....... .00 TOTAL PAID= l.!ti..n5t:i
PERMIT TYPE !..!::.::. AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 62.50 _$0 ": 2.,`.50 .00
62.50 62.50 :.00
PROCESSED BY: ihl...NI:.«i..., ;xs...+..!!'..:.r•i
PRINTED BY: WENDEi_., GLORIA
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