1991, 04-16 Permit 91001848 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANO, WA -HINGTON 99260
(509)456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent o compile said permiUapploation is true
and tion, I have
provisions included herein and agree o Spokane comply with same All punty to proceed with provisions of laws anld ordinances govemmg th stype of cams of
work wunderstand the PIEDC complied with whethotbec nstCTION ru f etl
give ornot.
violate octhat the ancel the provisionfthis s of any state permit/application
lawregulating constructiont n oras a ection approvals
of conformance with the provisions 0 any stateOrlloco
laws regulating construction. �%
SIGNATURE OF 1 �`j�../' /i4 APPLICATION i /i /�.— l/
OWNER OR AGE < �j'
PROJECT NUMBER= 91001848 ISSUED PERMIT DATE= 04,06/9i PAGE= Oi
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PERMIT INFORMATION
SITE STREET= i %5'20 E- MANSFIELD AVE:: 440 PARC1=1...4= 09544-600M
ADDRESS al-OK.ANE. WA 99206
PERMIT USE= INSTALL_ SINGLE WIDE MOBILE HOME.'
PLATO= MH0045 PLAT NAME= PINF.ECROFT MOBILE: HOME:. PARK
BLOCK= LO'T'= ZONE= UR -7 DIST"- F
AREA= 00000000 F/A-= A WIDTH= DEPTH= F::/41=:
OF BLDGS= 0 DWELLINGS= i WATER DIST =: PINECROFT MHP
OWNER= MEYER, DONE::Y PARTNERSHIP PHONE= 509 926 '..>83:3
STREET= 15920 E MANSFIELD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= {::LE:NNBARTHOL.OME 61 __ PHONE NUMBER= 509 926 5832
BUILDING SETBACKS: FRONT=: 5 LEFT= :3 RIGHT=:: 3 REAR= S
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MOBILE H0MIE: PERMIT
CONTRACTOR= ALLIED CONTRACTORS OF SPOKANE PHONE= 509 922 i02O
STREET= 1.624 E MAIN AVE..
y'` ADDRESS= SPOKANE WA 99216
jj190h:
K AK;= i 990 FLEETWOODW1 0h : i 4 LENGTH= 617 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
---------- --------
INSPECTION F E.._...__ 1 50.00
STATE SURCHARGE Y 4. Sty
COUNTY SURCHARGE:: Y
)fii.ii..h.ii.x..'r: ik li#ie)f'k ii#ti•ri'li'%'b: fieri 3i i{)e.tt. ii##itk PAYMENT SUMMARY *#�x�>E �i�*�����#*'#�*,. ii•�i�#>: ,�+�: at
PAYMENT DATE:: RECEIPT PAYMENT AMOUNT
04/16/91 2074
TOTAL. DUE== .00 TOTAL.. PAID= 62.50
PERMIT 'T'YPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
------------ ------------------
MOBIL.E HOME.:: PMT62,50 62.50 .00
------------- ------------ .._.....---...---- -----
62.50 62.50 •00
PROCESSED BY: :JOHN (._ARSON
PRINTED BY ,JOHN LARSON
.h..)[..K..h..A..h..M..h.:A..h..x..K..yt..j(..)(..x..h..k..h..h. j(..h. it. Yl..h..h..jt..'p..k..M.:�, THANK YOU I_I