1991, 11-27 Permit 91008258 MHSPOKANE COUNTY DEPAfMMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
� �� (509) 456-3675
Icertifythat I have examined this permit/application, state that the information contained in itand submitted bymeormyagenttocomDilesaid Permit/aDPlicat/N istrue
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 slate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF ` DATE APPLICATION
OWNER OR AGENT
PROJECT NUMBER= 91008258 T SSUED PERMIT T DATE=: 11/21/9`1 -
ar'riaa•x'## ...x.#.x'x'#*#•###tt' '### k PERMIT INFORMATION
SITE STREET= lIV219 EE MANSFIELD AVE 4023 IPARC:E-L..„:= 09544....6024i'•i
ADDRESS== SPOKANE WA 99206
PERMIT USE_: SINGLE WIDE: MOBILE HOME.
PL_AT`H MH0045 PLAT NAME= P.I.NECROPT MOBILE HOME. !'ARK
BLOCK= LOT= ZONE= I_IR DIST; = t.
AREA=:: 000110000 F/A= A WIDTH- DEPTH= R,'(a;::::
„> OF BLDGS= 1 DWELLINGS= s WATER DIST =
OWNER= EVANS, REGGIE PHONE= `509 927 1914
STREET= 51920 E MANSFIELD AVE 0023
ADDRESS== SPOKANE WA 99206
CONTACT NAME= RE:GGIE I: VANS PHONE NtIMP R'= 509 927 1934
BUIL..DING SETBACKS; FRONT== 4 LEFT= 5 RIGHT= 5 RFAR- 5
'le ii”Y.•'###..ri.3i.it.#..tt.y.ii.####. ih ii.:ri'####i¢3i•#'#'ii'ii' MOBILE HOME PERMTT
CONTRACTOR= OWNER F'HONi= _
YR/MAKE== 1992 LIBERTY MODEL= R.I:DGEWOOD
TFRTAi._O:::: WIDTH* i4 LENGTH== 70 HEIGHT= 10
ITE::M DESCRIPTION QUANTITY FEE: AMOUNT
------------------------- ------------------
INSPECTION FEE i 50.00
STATE SURCHARGE, Y 4.50
COUNTY SURCHARGE: Y 93 06
PAYMENT SUMMARY
S .
,� 1 Ihi 11T
PAYMENT DATE: RE:ECF.T.PTO PAYMENT AMOUN":
i 1 /27/91 9080 62:.50
TOTAL DUE .00 TOTAL- PAID- 62.5O
PERMIT TYPE:: FEE: AMOUNT AMOUNT. PAID AMOUNTlW ; I .`
•_i w .l.
•((:iBILE:: HOME PMT 62.50 62.50 .00
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PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
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