1990, 08-02 Permit: 90003708 Mobile HomeSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, 1MASSHIbIGTON 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/ap 'cation and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca he provisions of an ocal Iaw regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating constructi "7 fe,
SIGNATURE G A4� �2=:�2- / / APPLICATION
O C/
OWNER OR AGENT �(�!/ DATE
PROJECT 1E::C:T NU '1i:;1::.P?:::: 90003708
DATE= TE::: ,;8.i",:)' r" {5y
ISSUED PERMIT
I::.Ai;F ::.. 01
ii)i)i>s 3*Cr d)dti1 **)>d)iE 3 ) n PERMIT EJjjR.TI%N r nr r ) t 3)ic n*r ndiar c
A!r c 1nc r u
SITE STREET—.415 i-! £'ORT3:E•3 RD 1='.SRr:t::.i...;H:::: 18553.'-0409
ADDRESS= ESS= P"FFN ACRES WA 990-16
PE::Pii`'1:1:.T. USE= S:I:Ni.:;t...t=' WIDE:: MOBILE HOME
PLATO= 001357 PLAT NAME= 1£. r=i-T P(1 :P.,1I ' S SUB £
BLOCK= i LOT= ;; ZONE= AG Til:ST;:::::
AREA= I:r;'A= is WIDTH= 122 DEPTH= 175 ii/W= 40
'IP OF BLD£rs:o • i 0 DWELLINGS= I
OWNER= (iFwEN TS j .ri S PHONE=
i-PI:>?9 924 rh34
STREET= 415 N CORBIN RD
ADDRESS= GREEN ACRES t,it% 9901
CONTACT £'T PiA11l7=: ..11e::7.: £:::t...1 : lE:N-T';.E'+:R= >>0 `; ...?-4 ...... .4
IGE-ET:::: yET REAR " E..XsT
BUILDING ,S I::: -T" C3 r^I £::1<. , s<•• : FRONT= I::::t:S -T� i... i::: i- i :... EXST RIGHT= R
nmnnnak nia yiuptiidi6 AnhXhdf ) t h kMOBILE IC9tPERMIT * * 3 i i i 3 i G k i i ;n&nE G tiinni nin
CONTRACTOR= OWNER PHONE=
YR/MAKE= -197"' i'`tA:SHUA MODEL=
SEPtTr•)t...O:::: WIDTH= 14 1...1:-iv£:;Tt--= 70 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE i:::1 i 50.00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 8.00
v ii- * is * l4 •/?- * St $$ y,; •'p• p?- )i• ji.* )t >G )l- * * * :p:.r;..rr ar * •rt• er n' PAYMENT SUMMARY tc 3t 8i• •)t is 7i• ar 9E •n: * * ii• ie * it sr it * * 3z 3c :n- •rr m::,r .rr :,n *
PAYMENT DATE ,.. _f:. : ,.... Ji PAYMENT AMOUNT08/02/90
62,50
.T•£.1Tr"IE... DUE= .00 f(.)-T'r=ii... PAID= 62.50
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT Ci.;.. 62.50 ..00
62.50 62..50 .00
P'P<f.:)C:I:::i' 'i:::I) BY ..1£:i1' -1N 1...(,(: ON
PRINTED I'(:. ..JOHN I...r"tP•:.':'. ON
a,..yt..yE * §,: * ak * * * * •n: * * * d8 * * * H• •i,: s,: y,:.n' 3+i .ii..)t. ya d+.• •X.- .yi..y,; THANK YOU .yi• .ii..i,; .yi: h} .yi.* .yi..),; rn; 9@ * * -n rc * a,: •ii- )[ •ic * .ii.:ri..n:..yc .n fii d4 '* i,i * * *