1992, 03-20 Permit: 92001716 MH 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 t ply 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 th uance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orca the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions ot any state or local
laws regulating constru n.
SIGNATURE OF 011!%, APPLICATION
OWNER OR AGENT .• i DATE
VQi0
PROJECT NtM ;! C= 92001716 IS` : _ PERMIT DATE::::: 0:3/20/92 !''¢.Y(,rr:.:::: !.;-!
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J...................t. ..,Y•.....1.:.t... F!::.R?';.#. INFORMATION i!`i:i!i i!•itY•1k!!r•hr}¢9l•!i•;ti•j(•jk j{• j...l•?:.*:}y ji..} 1!-1 9Y itk 4L•iR•
SITE STREET= , t ?: ! 24TH r ; " 'A' `rI 0. 29541 -9025 f" tit _ -
SPOKANE WA
99206
! , : H . 999999 e ! FaM!
= RANGE
BLOCK= LOT= ZONE= _
:
.
AREA= 000000+ 2 . `f WIDTH= DEPTH=
I•t.
•„• }.±F .t:i....D?:r:.:.... -.,- DWELLINGS= ; WATER#::.:; :t%t. .; .... SPOKANE ...L.# ;i, RF;i ••{i'•i
OWNER= l...•!'..•i TERENCE & LAURIL 509 PHONE= '•}'' 3038
ADDRESS= ,... OK A!HE SPRAGUE 99206
CONTACT tt . : TERRY; COOK PHOtINUMBER=;� 09 fi` , 30
... is
BUILDING SETBACKS :f...•#�.:.: !'. .. .. 60 LEFT= .5 RIGHT= 45 REAR= 100+
***********KK***************** MOBILE # ±" : :! cm1 - : :* t N . :. . . jn : : :: t
* t*A , ,; *.t
CONTRACTOR= UNKNOWN PHONE=
b' i R :.?::.' ... UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1986 FLEETWOOD MODEL= BROOKSHIRE
SERIAL4= WIDTH= 28 LENGTH= 60 HEIGHT= 00
ITEM DESCRIPTION QUANTITY
, fN } - , i•'}::.r:: AMOUNT
.I.!'`t_:: R .:t.; ? I r:#til FEE 1-: 100 : 00
ATE SURCHARGE
^..l..i i I}`•f ”, ,.. ........I"i;•:{R.t.Y I::. ie.00
**** ************** **:k********:y
J. !•'t.:3y!"!E N # ::t.±#"##"#i.g R y ifrr:p..,.:*.)p?Y +=*ti);J}..y..j..;:.j:.{,t..iF t+.iu-9`i!j•:;•i!t••T:Ti".••5'r 9=i
PAYMENT
DATE •t ,.}.:_t..:!. PAYMENT
AMOUNT
.... .".:'. . 2 '# ..j:.. 1 ..:2, 50
C) A D E 00 TOTAL PAID= 122.50
PAID
PERMIT # i#''t::. FEE AMOUNT AMOUNT AMOUNT OWING
NG
•
MOBILE{BILE I• C:iME ;'!". ! 122.50 122.50 . 00t
122. 50 122.50 .00
PROCEEEED BY : WENDEL, GLORIA
PRINTED ... . : JULIE {;tI••IA #',,,}
*,.,;:************** ***K*********** —HANK you *)******K*** *******:*** ***:,******