1992, 03-10 Permit 92001314 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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
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 shal I 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 with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92001314 DUPL.IC:ATE::
DATE= 03.0 01/92 PAGE= 01
############################ PERMI'T INFORMATION ###########################n•
SITE S'TRE:E:T= 11920 E:: MANSFIELD AVE: 4035 PARCELO= 09544-6036M
ADDRESS
PERMIT USE= SINGL.E:. WIDE: MOBILE NOME"
PLATO=: C:ON'VRT PLAT NAME=:: CONVERTED CNTY DATA
BLOCK= LOT= -ZONE= RMH DIST*= E
AREA= 000000100 F%A= A WIDTH= DEPTH== R%W==
0 OF BI_.DGS'= 0 DWELLINGS= 1 D WATER DIST =
OWNER== HATTON, TIMOTHY W PHONE==
STREET= 11920 E: MANSFIELD AVE 4035
ADDRESS= SPOKANE WA 99206
CONTACT NAMES= ROBERT FRANKLIN PHONE: NUMBER= 509 924 2293
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
PAYMENT SUMMARY
PAYMENT DATE
RECEIPT4
PAYMENT AMOUNT
03/06/92
1494
63.50
TOTAL_ DUE=
.00
TOTAL_ PAID=
------------_...----
63.50
PERMIT TYPE FEE
AMOUNT
AMOUNT PAID
AMOUNT OWING
--------------- -------------
MOBIL_E- NOME PMT
63.50
-------------
63.50
--------•---------
,00
- ---------..-..----
63.50
------------
63.50
------ ----...---�--:
.00
PROCESSED BY: WENDEL_, GLORIA
PRINTED BY: JOHN L..ARSON
######> #######t ##x�i###x#t•#u## THANK YOU