1990, 06-07 Permit 90002574 Replace MHSPOKANE COUNTY DEPARTMENT CF BUILDING AND SAFETY
. W. 1303 BROADWAYAVENUE
SPOKANE, WASk1NGTON 99260
(509) 45 0-3675
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 ancel 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 constructi .
SIGNATURE OF —, � APPLICATION 10- q V T
OWNER OR AGENT
PROJECT T NUMBER= 90002574
fir'. rSUED`'P RM' E t
PAGE= 0
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SITE STREET= 18511 E.`.: COURTLAND AVE. ,.,Ar..:...,...... 209
ADDRESS= SPOKANE WA 99216
PERMIT 1.t,SE== SINGLE WIDE MOBILE HOME — REPLACEMENT
PLAT•;= 00064,E • PLAT NAME=-• DONWOOD EAST
oLOGIC= •i i...O i'= 9 ZONE= RMH I)IST = %.
AF.EAi= 0000090 �0 F;`tr i= 1,3 1 DTH:: 78 l?EPTHi= i i 5 Ft/ I- ' '
1. # ".i_1..3:NG;
tl• OF Cfj_i?i�S= , W
OWNER== BRU,SE, JOHN PHONE= 509 226 ...
STREET= 18511 r COURTLANf AVE
ADDRES = SPOKANE WA 99216
CONTACT NAME== JOHN I'f..uSC: PHONE NUMBER= 509 226 1165
BUII....TNG SETBACKS: FRONT== 45+ LEFT== 10
RIGHT= 10 REAR= 70
•A.• * ){ b: h: N: 1?• •Jl •11: lt• : •u •JF P: JL 1C Jk Pt Pi * * j( k: tt * 1[ Jk 7}: A: * MOBILE HOME F' I: Imo. '4 ]. T )7: A R A Pt 3t }k * b: 7l• h h N: K d: 'P: 'A: '?: A: •h : P: ll- A: Jl• F•
CONTRACTOR= OWNER. PHONE=
YR/MAKE= 1968 i'IODEL= VAN DYKE:
• ,SERJ AL..4= WIDTH. 12 i._ENGTH= 60 HE.I.GHT= OS
ITEM DESCRIPTION QUANTITY FE:E AMOUNT
INSPECTION FEE :•>0 00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 8.00
xi!it•vi*Nit•*it3t***** ?ik•7iii•iiii•**31:**ii*** F'AYMENT SUMMARY ***k}C**It**It**y?Jt Jk Jk3f}t•*9t 1t * JY*Jk1!*
PAYMENT DATE: RECEIPT;I: PAYMENT AMOUNT
06 /0 i /90 7061 62.50
TOTAL DUE= .00 TOTAL PAID= 62.50
:'LRMIT TYPE
_
MOBILE HOME PMT
FEE AMOUNT AMOIJ'., .. 'AID AMOUNT OWING
62.50 62.5000
PROCESSED BY: JULIE ;MATTO
PRINTED BY : JULIE SI-IrATTO
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