1990, 08-21 Permit App: 90004081 MH SPOKANE COUNTY
BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASRINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the informatioq 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. fn 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 authorithe provisions~any state~local law regulating construction,__s-warranty—conformance with-__provisions—any state
or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90OO4081p DATF= O8/2i /9O PAcE=
APPLICATION
*********************** *** APPLICATION *********************************
SITE STREET= 7204 E iOTH AVE PARCFL4= 24534-i033PTN
ADDRESS= SPOKANE WA 99212
_
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT4= 0O2955 PLAT NAME= WOODLAWN PARK
BLOCK= iO LOT= 4 ZONF= AG%UB DI%T4= F
AREA= 00000000 F/A= F WIDTH= iOO DEPTH= 120 R/W= 45
4 OF BLDGJ= i 4 DWELLINGS= i
OWNER= ;INGO A. C. PHONE= 909 928 4567
STREET= 9407 F 12TH AVE
ADDRESS= SPOKANE WA 99206 \ \
-� � .
CONTACT NAME= A. C. VINGO - � PHONE NUMBER= 589 921,:l 4567
BUILDING SETBACKS : FRONT= 32 LEFT= 31 - RIGHT= 5 REAR= 25
****************************** REVIEW INFORMAT7ON **************************
DEPARTMENT ` REVIEW COMMENTS ' APPROVAL [nFVT%
---------= ------------------------------ --------------- -c�f - ��
` ]�� �^
BUILDING SETBACK REVI1W REQUIRED -=�- /- c�-�'/-
HEALTHDI%T NEW OR ADDITIONAL WASTE WATER ------------------------------
****************************** 'HOBILE HOME PERMIT **************************
: CONTRACTOp= OWNER PHONE=
YR/MAKE= , MODEL=
%ERI4LO= WIDTH= 14 LENGTH= 60 HEIGHT= i0
ITEM DESCRIPTION QUANTITY _' FEE AMIUNT
------------------------- -------= ----------
INSPECTION FEE i 50.00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 8.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- -------_- - -------------
MOBILE HOME PAT 62.5O . O8 62 . 50
------------- ------_-----
62.50 .00.O0 62.50
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LAREON
******************************** THANK YOU ***********************e*********
SPOKANE,WASHINGTON 99260
(509)456-3671
?comity Inst i naw examined this
permit/applicaiion,riatethat the information con Q .r submlltedbymaormyagenitocomppilesaidpermlt/apppplloationIstrue
and correct, and authorize Spokane County to proceed With processing In r ea read end understand the INSPECTION REOUIREIv1ENT6/NOTICE
Oroulslons included herein and agree to comply wrth same.All provisions of law, 'q ordinances governing this typo of work will be compiled with whetherapecli!ed
norein Or not I underetandthat the issoano. ihls PPP mit/application and any sutigel-rrnti;4ipect,onapprovalsorCart,hcatesofOoou ant shatln
Viva authority toviol ate orcanoe!the provisions oftiny state orIOC*law re uiatinr)conAtructIon,oresap Y vanyootuorb to
at
laws regulating conatrust;On, warranty of conformance with the provlaions of any sten or IOOaI
SIGNATURE OF
OWNER OR AGENT DATE
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