2000, 05-24 Permit App 00004161 MHProject Number: 00004161 Inv: 1
r`- 3
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SINGLE WIDE MANUFACTURED HOME
Setbacks: Front 5 Left: 5 Right: 5 Rear: 5
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA
Parcel Number: 45094.6029M
Date: 05/24/2000 Page 1 of 1
Contact: SHRIVER, RANDY J.
Address: 45284 WALLACE RD E
C - S - Z: EDWALL, WA 99008
Phone: (509) 869-1135
Group Name:
Project Name:
Block: Lot:
SiteAddress: 11920 E MANSFIELD AVE #
SPOKANE, WA 99206
Location:: SPO
Zoning: UR-7
Water District:
Urban Residential-7
District: H
Owner: Name: SHRIVER, RANDY J.
Address: 45284 WALLACE RD E
EDWALL, WA 99008
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Permits:
Hold Reasons:
Permit Conditions:
Review
Plan Review
yy .S
9woo, / /0-6
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Payment Summary:
Operator: RMB
Permit Type
Manufactured Home
Notes:
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 SECTIONS
1 Y OR BLANK
Printed By: RMB
Permit Total Fees:
Fee Amount
$50.00
$11.00
$61.00
Print Date: 05/24/2000
Fee Amount Invoice Amount
$61.00 $61.00
Amount Paid
$0.00
Amount Owing
$61.00
$61.00 $61.00 $0.00 $61.00