1984, 12-06 Permit 00003651 MHSIGN^TU ::O'F APPLICATION
OWNER OR AGENT �a� DATE ! ( ` ` rf
JOD ADDRESS:
520 N CORBIN RD
OWNER:
SCOTT L CAMERON
ADDRESS:
11710 E FREDERICK AV
CITY: ST: ZIP:
SPOKANE WA 99206-0000
APPLICANT:
SCOTT L CAMERON
CONTRACTOR:
ADDRESS:
CITY: 5T: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
1 8553 0543
CENSUS TR:
INSPECTOR:
PLAT*:
OD2545
LOT S: CLOCK
000 000
FINAL
PLAT NAMC:
SP 84-334
ZONE -
ZONE
AGRI
FSO 5-1
035 000
5-2
001c
RSD
000
MOD
USE OF PERMIT:
8X45 MOBILE HOME
JOD ADDRESS:
520 N CORBIN RD
MOBILE
M/H PLACEMENT
Site
Number 1 W 08 L 45 H 10
SEC. *:
0003255
DATE:
112/06/24
PROJ*:
0n007651
Mobile Home Tnct'A1 1 . ran tFin . n n
FEES:
$50,00
,PAID DY:
CA
CK
X
CG
NC
COUNTER APB'
l//�
PLANS EXAM:
DATE:
12/06/2
HOME PERMIT
Zip -00000
TOTAL FEES $50,00
OFFICE COPY
12-06°-84 866,1z *50.P