1992, 05-21 Permit 92003638 Double WideSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
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 APPLICATION
OWNER OR AGENT ) DATE
PROJECT NUMBER= 92003638
ISSUED PERMIT DATE=: 05' 2i f 92 PAGE= 01
********ii**•*********•lr****•*** PERMIT INFORMATION *****•***•**i ******9t•****.•**•)k**•JS'
SITE STREET:::: 17704 E INDIANA AVE F'ARCE:L.:p=:: 07553-1030
ADDRESS= GREENACRES WA 99016
PERMIT USE::= DOUBLE WIDE MOBILE HOME (REPLACEMENT OF SINGLE WIDE)
PLATO= 002044 PLAT NAME= PI._AT"A" GREENACRES IRF .DISTRI.0
BLOCK- i...OT= ZONE::== UR....;..`S DI; TO= G
AREA= 00000000 F/A== A WIDTH= 150 DEPTH== 640 R/W== 40
F OF } L.DGS= )E::f...I..ING' = f WATER I)l:S
OWNER= DAVENPORT, RODNEY L. PHONE.::= 509 928 '5819
STREET= 17704 E INDIANA AVE
ADDRESS GREENACRES WA 99016
CONTACT NAME= RODNEY DAVENPORT PHONE NUMr E:.R= 509 928 5819
BUILDING SETBACKS: FRONT:- 30 I...EF-T= NA RIGHT::- 13 REAR•: NA
*********•***3 3** **•********3t•**• MOBILE HOME PERMIT*it••ii•***ir.••k•i+•iiis***ii•..****•k**p:**
CONTRACTOR:::: OWNER PHONE==
YR/MAKE= 1992
MODEL= MARI...ETTE
WIDTH= 26 L..ENGTH= 48 HEIGHT== 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE. 2 100.00
ETATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
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PAYMENT DATE
/5/21 r9.2•.
RECEIPT :
3837
TOTAL. DUDE:::: .00 TOTAL PAID==
PAYMENT AMOUNT
122.50
122.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME:: PMT 122.50 122.50 .00
122.50 122.50 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: J1JI...IE:: SHATTO
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