1988, 05-24 Permit 88001300 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have emmined this permit and state that the intormation contaioad in I1 and submitted by me or my agent to compile said permit is true and correct. In
addition, 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 and any subsequent inspection
approvals or Certificates of cupancy 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 h the provisions of any state or local laws regulating construction.
SIGNATURE OF T 2�� Al J �� ARFUCATION
OWNER OR AGENo�
PROJECT NUMBER- ER- 638001 300
DATE= 05/24/8 PAGE- 9i
ISSUED PERMIT
9Ed+i lE di lEri 3i dE}i iu dk.ii.:ri.:n.�f..7E iE dt iE IE R?i.:d..iE 7E 4ti..h.:>f
PERMIT INFORMATION .M..yE.;i.:g—ji.;t. aE dE aE i(.�E.x.gr.yt.y(.x..ye.yr ap.yE.iiak aE n; aE ae ar 7E
SITE STREET= i i 92,1 i:_ MANSFIELD AVE 22 PARCE::L.O== 0954.4.._0421
ADDRESS- SPOKANE. WA 9920E
PERMIT USE= SINGLE WI%•i_: MOBILE HOME_
PLATO= MH004:5 PLAT NAME= PINECROF"T MOBILE I'OME:. PARK
BLOCK::-- LOT= Z(.'..NE=: RMH DISTO- Iii:
AREA= 0000003 F/A= A WIDTH= DE_.PY'I-I= R/W==
x: OF T:tLDGS_:: g: DWELLINGS= (i7
OWNER= (:LSON, CLAUDIA PHONE=:: 509 926 7798
STREET= 119::.0 E: MANSFIELD D AVE 2
ADDRESS= SPOKANE_ WA 99206
CONTACT NAME::- CLAUDIA OLSON PHONE: Nt.IP`BER= 509 9.6 7798
BUILDING SETBACKS: ERONT:= I: XIS LEFT= EY.IS RIGHT- EXIS REAR:- E:7:IS
d49E 9y 46 gi. iF 3E#iE7Fii..j(.9E.IE.7E 9E hi 9@dE Li 3E dE.H..Ii...lE 3E lE 3@74 h
CONTRACTOR== OWNER
MOBILE HOME PERMIT
�(..%94 .y8.H..YE .1E.ii..1@ dE dE 9t..lf .k. dHE hi di di 9E ii dpi ii ;�) iE
PHONE:.::::
YR/MAKE= 1993 MODEL= LIBERTY
`'E RIiil...:ll::::: WIDTH= 14 LENGTH- 66 HEIGHT- 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_ .... _.........._ ._............. _. _.......... -..._. _..._....._..._............
INSPE::C:TION FEE i 50.00
BUILDING SURCHARGE 'r' 3.0)
F'AYM[ill ;il)'t4MAFt'r
PAYMENT TATE RI: (::EIPT4::
05/24/80 i690
TOTAL :Dt.JE_:= .4i4) TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT I''f'ID
MOB :L..E: HOME PM153.50 53.50
53 50 53.50
PROCESSED BY: SIL.VA, DAVID
PRINTED BY: `ILVA, DAVID
THANK YOU
PAYMENT AMOUNT
53 . 5:0
53.50
AMOUNT OWING
---------------
,00
---------------
„00