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1991, 03-26 Permit: 91000944 MH SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1306 BROADWAY AVENUE SPc(ANE,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 X� y /� (L � DATEAPPLICATION6 � v� / /c� OWNER OR AGENT U����f �'r,�(/��f o't(© iRt : , ;....i NUMBER= :"B, t . _ - . : { 9v- TESUED PERMIT :.}" ; . 03/26/91 PAGE= } t *** ********* ***K********* P{ F " rT N 1 i .4iT = ! } ii ? q. itj ! ! i4 y i:*) ) (• :) ) 4) j } tF SITE E { i't.t..C:. , .... 15006 E 13TH (••3 V?::. a ...O.:• 23544-1211 ADDRESS= .4?::.R(-Y:?(•'±i...F WA 99037 PERMIT USE= DOUBLE WIDE MOBILE PLATO= 001510 PLAT NAME= MADDEN SUB NO.2 BLOCK= LOT= ZONE= UR 3.5 DIST4= AREA= ,:??•y?f,,y tti?:`?C:i;g !•' .'j.{[;:. F L..?.!,1 i {'•{:::. ... .. Tf•1":: • R/W= 50 ' OF B? _ Y = ! DWELLINGS= WATER DIET . VERA OWNER= BIGGERS, RAY +.:+.AE.?NF= 909 7 7 -.2 .. . STREET= 30923 N CHIPMONK RD ADDRESS= +..:?"?(LiT . AF:i„i•Y WA 99003 CONTACT BIGGERS PHONE NUMBER= 09 792 q2Wi BUILDING :•,E•. .•..A::: :r: : FRONT= i.._7.. •• :•7 0RIGHT= , ... PEAR= 96 . •n:a..y,,.yk.y;..n• •n::'}:..a ,i y;..j,j.jt..j?..!?•sk'!k•x•-x•'rt:•!;•n--x''k £••}>:•u•i.•i. MOBILE HOME PERMIT }.•}t•-u;**•u:;,,.!,..y,,.y,:.y,:.!e,.!?.;�:•!r•!::•H:•u:'n:•n:a::�;•},:•!r:e* CONTRACTOR= OWNER PHONE= YR/MAKE= 1901 : E'”..:+3 W{_,i c:i_i MODEL= SERIAL-4= WIDTH= ....8 LENGTH= 70 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT ± INSPECTION FEE :2 100.00 STATE SURCHARGE - COUNTY SURCHARGE 16. 00 *****************************y:* *:k************************** PAYMENT DATE RECEIPT4 PAYMENT AMOUNT • 03/26/91;a•j 15`{ (} • 120,50 TOTAL PAID= •r PERMIT Ti { rAMOUNT M{ 7NT tCltN PAID AMOUNT i,:l:a.?.i4{..r ........... ...............MOBILE HOME PMT 120,50 120.50 -.............. i.t i.t 120,50 120.50 ,00 PRINTED BY : ILJ L PI.,. .: , GLORIA, ,, ; : ?s:}. : e ra :n:? • ti* ?a ?**h) **•••: : ! t: ;r , { you *Pyk1: {F. k:k1 . . ...j .. .* .4R .9i : ' .Aa: . ? • .�l . bl 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 Easements — — Road Plans/Improvements Bonds — Planning — Bonds Utilities Double Plumbing ULID Other '*•***•****•*******•***•*******THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY*****************************" Date received for C/O processing: — .Plans pulled for final processing: — -- Temporary C/O issued:___ .Certificate of Occupancy issued:-- — --- Office file review by: —_____. Date: 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: — — —— -- — — — --— _ -- —