1992, 05-15 Permit 92003219 Double WideSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY?,VENUE
SPOKANE, WASMINGTON 99260
(509)456-3675
1 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE —.\F'�l' APPLICATION s --1y _ ��
OWNER OR AGENT DATE
r!,c,,.,ECT Nt.11ll:it:.,':._:. P200 3249 I...>u1::.n PERMIT , I I::::: 05/15/92 PAGE=
bi iidr de'xn: de dti�i )i'#er'm iii $: N)r vr'x'n'x"k it tr'u d@§}#
PERMIT .LNf'OEit"11-t!i.(iry m:dit'x er ef...y:'7e demee dr'x—xn")i'')e dt er .r m: 'm'v ee :e: :n: ar se
SITE 1I";[::[i:1'_::
%08 E:.
EUci...Ii,
AVE
!'Ar;+.:r:......,,._. "<
(1TJIIE::C:.SS::::
OTIS t.!L:.i_!..1h'1f:I'JS
WA 99027
i AL.. DU0w;
TOTAL
PERMIT USE-
DOUBLE
WIDE: t"iOhiILE:
HOME
AMOUNT
4'`L_Fq'j':":::::
000 65
PLAT
NAME- MEADOWLARK
ADDITION
.00
_........_._.....................
-......................... —
ZONE=
C Ay. ,.
AREQ:
!../!y= i WIDTH=
i::,V :'!_F'ltI riC t W -0^ _
x' t.; l' I?I_.IlGS '''
:v DWELLINGS=
! WATER DIST = CONSOLIDATED 1. r,! ;;:9
OWNER= NORD: MARisLEE.
STREET= O BOX 331
r1..ipRE.,:>,.>:::: iv'e:.uli''dN LAKE WA 99025
CONTACT NAME- Y') F'? i'ti L 1... E:.::. LV 'C SJ
PHONE --w:
PHONE NUMBER- 509 926
BUILDING SETBACKS: FRONT- - 80 LEFT= 40 RIGHT- 40 REAR= i0%
MOBILE ;..;t:;MI:: PERMIT
CONTRACTOR- UNKNOWN i' 4-!l!Lv'!::.:c:
STREET= UNKNOWN
ADDRESS- UNKNOWN WA UNKNOWN
...... _.
YR/MAKE- 1992 P`L..i::.e:.iklrtt;i' i" _.;i::.i_._:: .
..: !...,..,. f't,...h.. w.!. r,! ....:::. ::...... LENGTH= .+._i H,-.,. t.iy,:::: M.
i:;
ITEM DESCRIPTION QUANTITY FEE Fi'ii.OUNT
_..-._.... _.. _..._....................._..........._....................................-------- -------------
INSPECTION F
_......_.._.................._....r P .... 1 J,r
STATE SUAR E.
COUNTY
SURCHARGE �
t.: t_i S'
.. ..
PAYMENT SUMMARY
PAYMENT DATE
{E_r.
-,d
PAYMENT fr(j V.!.
r
------------
.................................._......YO
i AL.. DU0w;
TOTAL
.00 0
O I AL PAID-
I':': r`:-7
PEP -MIT TYPE FEE
AMOUNT
Y:tt"I(:)UNT PAID
AMOUNT OWING
MOBILE HOME PMT
122.50
122.50
.00
_........_._.....................
-......................... —
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PROCESSED BY: WENDEL, GLORIA
PRINTED BY: ...iUi...TE: &HFt..t.T(:i
THANK
YOU