1992, 05-26 Permit 92003714 MHSPOKANE COUNTY DEPt„RTh ENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
tted by me or my agent to compile
certify that I have examined this permit/application, state that the information contained in it and submiTION pile said permit/application is true
am provisEC
ions t, aninclud authorize eand agree to comply w th same. Alto proceed Spokane CountyhpPov'sion's of laws and ord inan es governng. In addition, I have read ing th sf type of workwillstand the be complied with e whether specMed
ion
gve authonty to violate or that
the provs�sotanyrst t/eo�al law ion a ulatingoonsVucl ont P ortasa approvals
of confrCedormance with the provisionls of anys atetoreocal
laws regulating construction. �)4_A
SIGNATURE OF y( APPLICATION
OWNER OR AGENT (�—�—DATE �lfu
PROJECT NUMBER=: 92003714 ISSUED PERMIT DATE= 05/26/92 PAGE= &
PERMIT INFORMATION #..}..M.#}:####k##'####•#. #..R. #..u.##.#.#};##'
SITE STREET== i i 920 E MANSFIELD AVE .024 PARCELO- 09544--6025M
ADDRESS- SPOKANE: WA 99206
PERMIT USE== INSTALL SINGLE WIDE MOBi.IE HOME
PLATO= MH0045 PLAT NAME= PINECROFT MOBILE HOME PARK
BLOCK:= LOT= ZONE= UR --7 DISTw:= FIF't/W==
AREA= F/A= A WIDTH= DEPTH=::
OF BLDGS== 0 DWELLINGS= i WATER DIST =
OWNER= HOOPER LE: ROY _ PHONE= 509 926 3116
STREET= 11920 It MANSFIELD AVE 0024
ADDRESS= SPOKANE: WA 99206
CONTACT NAME== VIRGINIA ANNETT_ PHONE: NUMBER= 509 926 3116
BUILDING SETBACKS: FRONT=4 LEFT== 5 RIGHT= 5 REAR= 5
.##.#..#..u.#..##}.#..x..x######•it...##..u. #. xi.#.#
MOBILE HOME PERMIT ##"I'#•h'###'#•I'# '##JF##) #JF A"'#..�..A.
CONTRACTOR= OWNER PHONE.=.
YR/MAKE= 1984 REDMAN MODEL=
SERIALO:,,, WIDTH= i4 LENGTH= 56 HEIGHT= i0
ITEM DESCRIPTION
QUANTITY
FEE. AMOUNT
------------
-----------'
INSPECTION FETE
--------
i
50.00
STATE. SURCHARGE:
Y
Y
4.50
9'00
COUNTY SURCHARGE
7r#ih'Y.ri.ii..%.ie iFJc#rik##'if#R#i(##ri##3e iF#k"k# PAYMENT SUMMARY
PAYMENT DATE
RECEIPT;:
PA'Y'MENT AMOUNT
05/26/92
3905
63.50
TOTAL. DUE=
.00 TOTAL_ PAID=
63.50
PERMIT TYPE: FEE: AMOUNT AMOUNT PAID
AMOUNT OWING
MOBILE HOME PMT
63.50 63.50
.00
_ - ..-.-..-63.50
___ __
___---------------------------
63.5063.50
.00
PROCESSED BY: JOHN (_.ARSON
PRINTED BY: JOHN L -ARSON
THANK YOU