1992, 05-13 Permit 92003376 Double WideSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456,3675
1 ce&QbaH have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/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 th is 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 ,J
I''1a1,. ECT NUMBER- :::: S2E C ::a"; ; r.; ISSUED I? F'ElitS:ET Vil I i;-:::: iyD/ 1 5/ Y:' r r l_.c::
PERMIT INFORMATION 'ii"M"k i4 Li'll'il'Y@.)t..yE'Pi'R"Jl"lli N:.R..H..k'Yi'k'k'il''P: d,l Yl"li")V R.
SITE STREET= 17709 E INDIANA AVE. PARCEL_O— 075}3--092+{
ADDRESS= GRE::E::NAE E_ S WA 99016
PERMIT USE= DOUBLE WIDE MOBILE. HOME
PLATO= 002044 PLAT NAME== PL..AT°A° GREi:E:NAC:REES IRR.DISTRIC.
BL_OCK::= LOT= ZONE= UR --3.5 DIST'M- G
AREA=:: F/A= A WIDTH=:: 152 DEPTH= 660 R/W== .40
OF BL..DGS- r DWELLINGS== i WATER DIST - CONSOLIDATED IRRG Q
OWNER= LADD, ROBERT h LAUREL.. PHONE= 509 466 8329
STREET= 9320 N MOUNTAIN 'VIEW LN
ADDRESS-: SPOKANE: WA 99218
CONTACT NAME:::::: ROB LADD PHOPHONENUMBER= 509 927 925=1
BUILDING S'ET.BACi(f.>'. FRONT== 70 LEFT= 30 RIGHT= 50 REAR=:: 100
MOBILE HOME: PERMIT'
1 I .{
CONTRACTOR- OWNER
YR/MAKE- 1992 MARi._EETT
SERJ.Al...O::::
ITEM DESCRIPTION
_..........-----.._..----
I:NSPECTI:ON FEE
STATE SURCHARGE
COUNTY SURCHARGE
PHONE==
MODEL.::=
WIDTH- 26 LENGTH== 66 HEIGHT= 10
QUANTITY FEE: AMOUNT
------ _........_....___.. _.............—
- 10%00
Y 4.50
Y 18:.00
PAYMENT ::. SUMMARY
h _ SU M•.. .
"y
PAYMENT DATE::
RECE:IPT'O
PAYMENT AMOUNT
05 03/92 3/92
3579
122.50
TOTAL.. DUE---::
TOTAL
,.00
iO'iAl... PAID=::
.. --- .................................
-------------
•i22:.50
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
MOBILE HOME PMT
122.50
122.50
.._.._............._....
`..'.------ _..—_.._.—_.
122.50
i22.50
.06)
PROCESSED BY: Wiii: iL .r..;EL, GLORIA
PRINTED BY: jOHiN L.d-i RSON
THANK Y O t. i