1991, 03-27 Permit 91001406 Replace MHSPOKA1 JNTY DEPARTMENT OF BUILL
_ W. 1303 BROADWAY''!ENUE
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 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
OWNER OR AGENT
St) Sxzi
°C•_IE t:7' i11..Jh1Kl:::r.=
APPLICATION 3 I - Jq
DATE ! r
_ISSUED PERMIT. D7
-• • • _-E. }
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F:!+!i}1?i M ' = ixi?i r.:J��t -I' t+,l!•i I t�
PARCi:' L = 1 6554-..•I 51 4
PERMIT -S== REPLACEMENT OF SINGLE WIDE MOBILE -f"-
I _A . ,r--- 00050 PLAT r.:S"!r.:::: •;.:i.•in`B h ADD 70 G -c'1-....1`vt-rSi..f_•c_:!_3
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AREA. t t}0 J:;J0Itl
•M• OF .Et L :D GY S = :; :i;- D LJ F L .. ': N G S = 'i iWl rA T F: R I i i `: I • =
u_Ni-R= SATY, .., . SHANNON Pii1_rNE= 509 922 0647
='.EE T_ {%'906 1::: 4.:ia±all_i::Y AVE
ADDRESS= SPOKANE: WA 99E j.6 .--
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i:Oj i T RA% 7•OR= OWNER_
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ITEM DESCRIPTION
INSPECTION FEF
STATE SURCHARGE'
COUNTY. SURCHARGE.
RHONE=
0DEL_=
-IDTH= 12 LEN ; T H= 64 HEIGHT- j ;;-i
GIUANTT—f FEE AMOUNT
..................... .. .. .. .. .•:::�::f •'••:5,; •'•:•. r_`''t-j,__ ^'1`•!M'A•;2 ):ItIt It li•l:•It It Jt 4t It J It It Jt It h Ji• Jt It It Ji• Jt91 Pit li*
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4
TAL_ riuf:::._= , (0 TOTAL 1„'A ' f ::
PERMIT T' F'C: - —FEE AMOUNT AMOUNT PAID
MOBILE HOME 1' ` f~f T 62.50 62.50
-PROCESSED. BY f vi w .RSO
Pi={ iNTE: :8. •-_JI._Q E. SFtA T .TC .
'JC;CR'7k 9k 91•7C JL•7k 7t•T.•7C 9t•71-9L•YL•7l•7l•!t '1C •?: Yt 7t•Jk 9t R••a R•K•JL'R :'!• THANK
C,
PAYMENT AMOUNT
62-50
62.50
AMOUNT OWING
.00
00
*************************:A x X k ,t N: * *
SPECIAL CONDITION CHECKLIST
Project
Address' Project # Use*
Dep : , Date:
Dept. of Sldgs.
Engineer's
Planning
Lit
Other
Condition:
Special insp. Final Report
Hydrant ( )
Lock Box
R'D/CRP
casements
Road Plans/Improvements
Bonds - -
Fonds
Double Plumbing
ULOD
!nit:
(in)
Appr:
(out)
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY"""'""'"""""*""'
Date received for C/O processing: Plans pulled for final proce<sing-
Temporary C/O issued- Certificate of occupancy issu=d-
office fife review by: Date:
Filed insp fina!ed by: Date:
Ninety days after C/0 issuance:
Owner/contractor caged regard: ng the return of plans: Date -
Plans returned: Received by -
No response from owner/contractor- plans destroyed-