1991, 09-11 Permit 91005725 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W: 1303 BROADWAY AVENUE
SPUANE; 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 shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.(
SIGNATURE OF 1 \\ I APPLICATION
OWNER OR AGENT Ih_1C F_ Wh Ql DATE
PROJECT r.+I_I1SLjEi;::::: 94005795 ISSUED E'EIwiITPAGE-;:,1
P E:. E D T INFORMATION
SITE: STREET= i i 920 E:: MANSFIELD IE:LD AVE: 00461 PARCEL_ i:= 09544-60501
ADDRESS= SPOKANE. WA 99:06
PERMIT USE= SINGLE WIDE MOB:ELE. HOME
PLATO— MH0045 PLAT NAME= PINECROFT MOBILE HOME PARK
BLOCK:::; LOT= ZONE= UR -7 DI,ST:w= F
AREA= F/A== A WIDTH= DEPTH= R/W-=
OF BLDGS= x DWE.I...I.INGrS=:: i WATER DIST = PINECROI=T MHP
OWNER= DEAN, DEBRA PHONE= 208 7.72 4386
STREET= 388 W WYOMING..
ADDRES'S== HAYDEN LAKE ID 83835
CONTACT NAME= DEBRA DEAN PHONE NUMBER== 20R 772 43RA
BUILDING SETBACKS: FRONT= NA LEFT= NA RICa'I-i=:: NA REAR= NA
MOBILE HOME PERMIT
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
AIiDRESS- UNKNOWN WA UNKNOWN
YR/MAKE= 1986 KIT MODEL= ROYAL OAKS
SSEERIAL_m= 10175 WIDTH=: 14 LENGTH= 66 HEIGHT=: 10
ITEM DESSCRI.PTION QUANTITY FEE AMOUNT
------------------------- -------- _._................------.....
INSPECTION FEE: 1 50.00
STATE: SURCHARGE::Y 4.50
COUNTY SURCHARGE
Y 8..100)
PAYMENT SUMMARY
PAYMENT DATE RECEIPT»: PAYMENT AMOUNT*
0901/9'1 6431 62.50
--------------
TOTAL
.-....—_...._--..----......TOTAL_ D:- E:::: .00 TOTAL PAID== 6:.50
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING:
--------------- ------------- ------------ -.._..-------......__...----
i°OBI:l_.E HOME:: PMT 62 50 62.50 .00
------------- --------------------------------
62.50
---------..._..-----....6 ..`:?0 62,50 .00
PROCESSED BY: WEcNDEL, GLORIA
PRINTED BY: WE:NDE:L , GLORIA
THANK T O I.I