1990, 08-21 Permit: 90004078 MH SPOKANE COUNTY DEPARTVErST OF BUILDING AND SAFETY
W. 1303 BRCi DWRY AVENUE
SPO(AtIE,WA**NGTON 99260
19)46-3675
I certify that I have examined this permit/application,state that the informatio 7 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 p ' application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of a y state r local law regulating construction,oras a warranty of conformance with the provisions of any state or local
laws regulating construction. c:J
SIGNATURE OF L/ lG� APPLICATION — 2l.- y0
OWNER OR AGENT �� DATE C
PROJECT NUMBER= 90004078
STREET= 72E 2 I::: 10TH AVE PARCEL4= 74 ' 4 ••I !7 3R1'i`•
ADDRESS= SPOKANE WA 99212
PEFt"1I.T USE= SINGLE W.I.t.JE MOBILE HOME
PLATO=5tr'cf.i.`.r..5 PLAT NAME= (u±,:i,l(1I...f"±:.i... PARK
BLOCK=K= 1 -', LOT= ".:5ONE'_ •• f-+G i.itf DIST4= :..
AREA= 000000+70 F'/A= I" WIDTH= 100 DEPTH= 120
1..
OWNER= VINGO, A. C . P HON!v 1.:.= 509 8 4567
ADDRESS= SPOKANE WA 99206
CONTACT NAME= A, +• :. 'v`IN•.vO PHONE NUMBER= :;.;t > 928 450
7
BUILDING SETBACKS :: I-i'•.±iI3T= ' LEFT= 31 RIGHrI ::.. 5 REAR= 25
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CONTRACTOR= OWNER PHONE—
YR/MAKE= MODEL=
`±...-,.!.±'•4:.«'i!... {T).L t? I l ..v LENGTH= 60 :i!... t.:.. ... . .... 10
.
AMOUNTITEM DESCRIPTION QUANTITY FEE
INSPECTION E'E::±::. i50 , 00
S.T. '.T.,... SURCHARGE _; r..,
COUNTY SURCHARGE ? ;; „k}!;;
F ,.Y:
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PAYMENT DATE ±,-'#::.t.:I::..I.j.: ± PAYMENT f::ti+i,_ ±._ N I
08/21 /90 4879 62 , 50
................................................
TOTAL DUE= .00 TOTAL PAID= 62 , 50
PERMITTYPE t.. A..::. AMOUNT AMOUNT ±: 6•±.I:r: AMOUNT OWING
MOBILE I...-r.' I"itOM.:: PMT 62. 50 62. 50 , 00
62.50 62, 50 . 00
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; PROJECT NOTE : i" 1 : " . � ) 1i : : t DEPT .
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APPROVED ON CONDITION THAT INSTALLED MOBILE HOME
.4.I'?:.; , AI...I...I:::1 IN SAME LOCATION fA.c, PREVIOUS utlB_.I.. i- i--i :'M
I"!'`.O .:i::.t•S,....1.+ BY : :.:(,tt tI'•3 :...±•aR:;i,.N
PRINTED BY : JOHN LARSON
,If:* ** ***************** **** THANK '(Cl i,J P:'&A X*it•&it jt,N:it'P:•P:9+::!t'p::u:iui i(''lt:!C'J!::it 9t'J!:'A:7t i!:'p;'i{':}:'A'-li.