1992, 02-06 Permit: 92000670 MH r •
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 canc he 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 APPLICATION 2
OWNER OR AGENT �'�"` DATE
PRftiFrT 92A70 ISSUED PERMIT DATE= 02/06/92 PAGE= /,: 1
.,,..,•..:...............}..}}..}t..}}..il..}}..!}. .�}..}}..{}..y}..}...a}..y- -{:.:}i. ?.:...R:.,, ,...i. INFORmATTON :}i.*:{..r}.:}}:.�i.�}.:,..***.i?. }:.}p. .}}..}Y i....:}..., .}:..{:.-}...k.},..},..r
SITE STREET=
10010 E 9TH AVE EARCEL-11:= 20544-091
ADDRESS= SPOKANE WA 99206
PERMIT
USE= DOUBLE WIDE MOBILE HOME
PLAT = 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= OT= 12 7nNP. F
WIDTH=
. DWELLINGS=
r
t
, JACK F PHONE= 509 92O 0927
STREET= 10010 E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= IE• EES"
JACK
STREET-BUILDING SETBACKS : FRONT= 25 LEFT= 10 RIGHT= 25 REAR= 26
CONTRACTOR= UNKNOWN PHONE=
UNKNOWN
ADDRESS= UNKNOWN A UNKNOWN
YR/MAKE- 1979 MODEL=
.:
cRiHIION QUANTITY FEE AMOUNT
E
INSPECTION FEE 2 100 , 00
STATE SURCHARGE , 50
COUNTY SURCHARGE i@, 00
.............................. .. .. .....:-.......-.-::-:'-:,:-:,:.:,i.:i.
t. ! .. ...... :..... .. .. !., s}• .. .. !. E.:t.:}`';E"E i••.'a i EummARy
TOTAL DUE= „00 TOTAL PAID= i22 . 50
PERMIT . . .... !::.... AMUUNi AMOUNT PAID . ..'ii. ...N . OWING
MOBILE HOME PMT 122 . 0 122,50 , 00
122 ,50 122 ,50 , 00
PROCESSED G;EE
"i''J
PRINTED BY : WENDEL , GLORIA
• ...............v..:,..:..t..,..v,..: n:::i..i:.::.::i. :!. THANK :}}::,}::?}::, :j.:k.ij.:?}"I!-�}::i.:}i.:: :,j..:. :.'!!: .. .... .. ...... ..