1992, 09-17 Permit 92007735 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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
a" correct, and authorize Spokane County to proceed with processing. In addition, 1 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.1 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 cal 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= 92007735
I:SS'UEI'3
PERMIT
DATE- 090 7/92 PACE== Oi
. .. ..
PERMIT
INFORMATION
3i—hi ie'ii"1P3f'ii")i'dr iE ri'k ie ip'1i"ii'.Y?i4:�i..)r.:n; r�i dp+nl iry di'u if
SITE STREET= ii9 0 E:: MANSFIELD AVE e:0iE1 PARCEL.*== 45094.6020M
ADDRESS= SPOKANE WA 99206
PERMIT USE= MOBILE HOME:
PLATO= CON'Y'RT ECLAT NAME= CONVERTED CNTY DATA
iii.00K::= LOT= ZONE= RMH DI:STO= I -I
AREA=:: 000000010 E'/A'- A WIDTH== DEPTH= R/W
.: OF isLDGS- 0 DWELLINGS= 10 WATER DIST := MOAB
OWNER= ,SC.7HIAMANSKI RUTH PHONE= 509 924 5747
STREET= 11920 E MANFIELD AVE 60%
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TAYLOR TRANSPORT PHONE NUMBER= 509 2'44._ 0'.'5
BUILDING SETBACKS: FRONT= 4 LEFT= 5 RIGHT= 5 REAR= 5
...
i-{ON):I._E' I-I'nF.. PERMIT
CONTRACTOR= OWNER
YR/MAKE- i97i GENTRY
SERIAL..~:::= S620%
ITEM DESCRIPTION
-------------------
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE,
PI. ONE;rs:
WIDTH= 12 LENGTH- 64 HEIGHT= i O
r,UANTITYFEE AMOUNT
----- -------- ----- ..............---
y0,00
Y 4.50
:T• 9.00
98"'>E dk i@.H'.hi if v6 dtr ): ii i4.yh; diiu %'ik)i—ikri of 11"11—ii'iHi'ie iE iik 1''!'tYi1Et P41 SUMMARY 9r de')('�ri is#z}i:.i:'"ri ie if#'}�i bi k 9E i('d('ia :�e a. ar.,o .n .,. •: ;a'
PAYMENT DATE RE.::CEIPTM PAYMENT AMOUNT
0907/92 7834 63,50
--------
--"----
TOTAL DUE::::: .00 TOTAL PAID== 63,:50)
1'i:::a;:MIT 'T'YPE:: FETE. AMOUNT AMOUNT PAID AMOUNT OWING.
--------------- ------------- ------------ -_....-..-------"-'-'--"-'-'-
MOIi+:l:l.-IiE HOME Phi -E' 63.50 63.5-2, .00
----..-..-.-.-.-....--..- . ------------ _........-----..-..................
6300 63o50 100
PROCESSED BY: BARRY I" USF i. O EN
PRINTED BY BARRY HiUSFL.OEN
:ri'i(" 1i' 9e'n: ri' is yr ur a"n"rr or x"m s' er'm ri"m u' ar ri ie Ji"a"ii' di"n' ii' )i"i('THANK ° J .. '1(' �(.')k il''li" 1(' :I(..ji..11..j(..1F .1("➢i d("V i@ $.. P..Vi f4' ai..ji, jL .il.:ll')4'll'Pr P}'P) Ip 14 it