1992, 05-21 Permit App 92003638 Double WideSPOKANE COUNTY DEPARTMENT OF BUILDINGS
`VIA. 13'03 BRUADWAY AVENUE
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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER -• 92003638
APPLICATION DATE.:::: 05,'21 /9'2 PAGE01
***** TH:[S TS NOT A PERMIT *x•*** •
PENALTIES WILL BE:: ASSESSED SESSED FOR COMMENCING WORK. WITHOUT A PERMIT
SITE STREET= 17704 E IND.T.AiNA AVE F'ARCEI...O3= 07553•-•1030
ADDRF:;:'sS::= GREENACRES WA 99016
PERMIT USE : DOUBLE WIDE MOBILE HOME (REPLACEMENT OF SINGLE WIDE)
PLAT =:: 002044 PLAT NAME::= PL A T• d r"t" GREENACRE.,: IRR. DISTRI:C
EfI...00K == L.OT=: ZONE= == UR:_.. ,, . 5 1D 14 T 4 = G
AREA::= 00..t0i. (,00 1:-/A::= A WIDTH:::: 150 Dl::PTH::= 640 R/W._
OF riL.T1CYS== :»: DWEi_.L_INGS=:: i WATER DIST :-
OWNER=.: DAVENPORT, RODNEY I. PHONE= 509 928 5819
STREET- 17704 E" TNC1IANA AVE
AIDTDRE SS:=: GREENACRES WA 99016
CONTACT NAME::-: RiODINEY DAVENPORT PHONE NUMBER.;: 509 92S 5819
BUILDING SETBACKS: FRONT( 30 L_F:F .T..== NA RTGH•T= 13 REAb NA
ii• :..}t.*.*•ri•*..*..*.. 3(.3 .*..R.yt.*.*.${•a:******.**** REVIEW INFORMATION **•**********••*********.****
DEPARTMENT REVIEW COMMENTS
BUIL_D:[.Nc. SETBACK REVIEW REQUIRED
1•iE::r'r1...TF•IT)IST INCREASE IN I...OT COVERAGE
**•*.*.*.***:****:•*•**•***r' iE*3,:* ••...**•k
APPRO ACOMMENT.'
N6-7 /- 9 ` ,J f /1e4JA-7....[ 1.
MOBILE HOME PERMIT**************************
CONTRACTOR= OWNER
YR/ MAKE- 1 992 MOTDEL== MARLETTE
SERIALt= WIDTH::= 26 LENGTH:::: .,�R HEI:GHT=:: 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FEE it?t').ef�f
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 ()0 122.50
PHONE:=::
PROCESSED BY: J U L- E S I••I A T T 0
PRINTED E Y : ,.JUL..IE SHATTO
•a•X•ii•*******•*•****••x*••Ai****ii ***•X:*•*•**•*
THANK. YOU
:,:*****•)t••.*.:•***•*****;u;}t••*******•*•*****
• AP
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