1992, 11-30 Permit 92010445 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 perm it/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 regu Iating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATUREt APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER- 92010445 ISSUED PERMIT DATE:::: i 4 3tt0/92 PAGE::. 01
PERMIT INFORMATION
4 il'Fit J. 4.1
SITE STREET= 11920 EE MANSFIELD AVE 0048 PARCELO- 45094.6052M
ADDRESS= .SPOKANE WA 99206
PERMIT USE= SI.NGL..E:. WIDE MOBILE. HOME
PLATO= MH0045 PLAT NAME== PINECROFT MOBILE HOME PARK
BLOCK'- LOT= ZONE= UR --7 DIST.: I -I
AREA:::: F/fA::= A WIDTH= DEPTH= R/W::::
4 OF BL..DGS= 1 4 D'WELL.INGS== i WATER DIST = PINEECROFT MHP
OWNER= TAYLOR, EL..ME.R PHONE.::=
STREET= 11920 E MANSFIELD AVE:. 0048
WAYS= SPOKANE WA 99206
CONTACT NAME= ELME:.R TAYLOR
PHONE. NUMBER=
BUILDING SETBACKS: FRONT=: 4
LEFT= 5
RIGHT= 5
REAR= 5
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F'E ti �1
HOME I
J.Y
..
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CONTRACTOR=: OWNER
PHONE-
YR/MAKE=;
MODEL.-
SERIAi.O:=
WIDTH:=
10 LENGTH=
45 HEIGHT:-: 00
ITEM DE.SC:RIPTION
------- -----..---.-.-..-..........-----•-----
QUANTITY
FETE AMOUNT
INSPECTION
FEE
--------
i
------------
50.00
STATE SURCHARGE
Y
4.50
COUNTY SURCHARGE.
Y
9.110
PAYMENT
SUMMARY
PAYMENT DATE
RE:CEIPTO
PAYMENT AMOUNT
11/30/92
725
6& 50
TOTAL. DUE:=
.00
TOTAL. PAID==
---..-..-..-----------.._..
63.511
PERMIT 'TYPE: FEE AMOUNT AMOUNT
---------------
PAID
AMOUNT OWING
-------------
MOBIL.E:. HOME. PMT
--------
------------
63.50
63.50
_.._..-----..-......_..-----
.00
----- •-••--------------•--
63.50
63.50
-----•-----._...----
.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE: SHATTO
ii ii##i{####1i'i{##ii#'i{i{•##..p: i{..X..)(..)E i{##..y{#.#. THANK YOU