1992, 04-30 Permit 92002949 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
%W.-4303 BROADWAY AVENUE
SPOKANE, WAr4i1NGTON 99260
(509)4556-3675
I 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 perm it/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 perm it/application and any subsequent inspection approvals or Certificates of Occupancy shat I not be construed to
give authority to violate or cancel th 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 AGEN DATE
PROJECT NUMBER- 92002949 ISSUE .D PERMIT BATE=: 04/30/92 PAGE=:: Ai
#ii#iE ie#jtir 7i..M.ii..iF###ii1e..##iiteie ride#11..11.
PERMIT I
INFORMATION
Y ... .... .. .
##ie dr do do#3idr uttxxk iE###iE##lrar :m et v: oc
Y l(
SITE STREET= 11920 E:: MANSFIELD AVE:: 004& PARCl::a._a: 09544--6052M
ADDRESS=:: SPOKANE. WA 99206
PERMIT USE:- SINGLE IWI'DE: MOBILE HOME
PLATO= MH0045 PLAT NAME== PINE.-ECROFT MOBILE HOME PARK
BLOCK= LOT= ZONE:- UR -7 DISTO== H
AREA= F/A= A WIDTH= DEPTH= R/lW==
0 OF BLDGS= 1 0 DWELLINGS= i WATER DIST == PI:NECROFT MHP
OWNER- JANKE, ESTHER PHONE=:
STREET== 119201 E::: MAN.S'F:I:ELI) AVE 0058
ADDRESS= SPOKANE WA 99206
CONTACT NAME=:: E:STHEE2
,.!ANiiE:: \lf..rl+!E:: E'INUMBER=
BUILDING SETBACKS: FRONT= 4 LEFT= 5 RIGHT== REAR::=
.. tt..k..tt..><..g..x..h..n� ii� �i;: iti.h. �� ii� if ii� ai� # ac # ir.x..>•;.ii. # # �;. 11..11.
MOBILE HOME PERMIT ';i' .�..i{`a..7g.y}.h..k. ii• # tie it..it..uiv: ii. ie u. g. ye •�:.;') ii� �ii� ie i.1
CONTRACTOR== OWNER PHONE---
YR/MAKE:::: MODF::1. ;;
SERIAL -r== WIDTH= 12 LENGTH== 60 HEIGHT= i0
ITEM DESCRIPTION QUANTITY FEE AMOUNT'
------------------------- -------- _.._._.—-----------
I:NSPE:CTI:ON FEE i 50.001
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE: Y 9.00
n;.1i..u. �7e �;i�i73r di�ie iiii�a��ii�•7i�i�i de di#iiii��iE.x##dr �x�#iide#
PAYMENT Nh S L!1`IMAR'T
PAY11I:::INT :DATE
RECEIPT:
PAYMENT AMOUNT
04/30/92
059
63,50
TOTAL.. DUE==
.00
TOTAL.. PAID-
63.50
t'!_.FiMI:T TYPE:. FEE.
-- ------------
AMOUNT
AMOUNT PAID
AMOUNT OWING
-------------
MOBIL_E:: HOME PMT
-..--.._..._.....-.-_.......
------------
63.`50
- --_........._...---....._._......'
,,,.50
..__.—__....—_..--_____----
Fi0
63.50
,
_
63 00
__._..._.. ----
r.
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE:. SHATTO
Kai..h..a..h....x..k.........a..h..x. ee # #..;,..v:. y;..7g.7f.A..A..k..p..:p...R..A..x. THANK YOU i