1987, 10-08 Permit 87003404 MH40
v -SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit and state that the information contained 5 it and submitted by me or my agent to compile said permit is true and correct. 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 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, or as a
warranty of conformance with the provisio any s r Ins regulating construction.
SIGNATURE APPLICATION
AG
OWNER RE AGENT C' AA DATE ,
PROJECT NUMBER= 87003404
DATE= 10/08/87 PAGE= Oi
ISSUED PERMIT
dE.iF.ii.dF.iegHE.h;.ti..$..JfdE#}F}E }i dr,. (q.?@.k. iF 34 )F dF iE.%:ri. iE PERMIT INFORMATION
I ON xai}e�.Baa.yE.yE.x..y(.:�..x..yi.;c;iaE u�ae>.�aF x�E a ri�E iE
SITE STREET=
11920 E
MANSFIELD AVE
j+d'
E'ARCEcLO= 09544-0421
ADDRESS=
SPOKANE:
WA 99206
54
PERMIT USE=
SINGLE W;:DE:
PLATO=
MH0045
PLAT NAME= PINECROFT
MOBILE
HOME PARK
BL000--
LOT=
ZONE==
RMH
DISTO= r -
AREA=
00000000 F/A- A
WIDTH=
DEPTH= R/W-::
OF BL.DGS'::=
0
DWELLINGS=
OWNER=
L_E:STE R,
I:_LMER 0
PHONE:.-:
STREET=
119:20 E
MANSFIELD AVE
4:3
ADDRESS=
SPOKANE
WA 94206
CONTACT NAME=
OWNER
PHONE
NUMBER=:
BUIL..DING SETBACKS: FRONT::
LEFT=
RIGHT=
REAR=:
aEeEa x_yE.x ;i }EaEiEai riE� ;F.yr..yp..x,: .;iaFyF.yr.e.n..yE.y[. M(:JI;ILE: HOME PERMIT
I:I e F-u..x..x..r..E.yea ;E.x..gFx eE.yn.Ex..x.aiae�ai—}rx
CONTRACTOR= OWNER
YR/MAKE:::: 1972 RIDf::AU MODEL::::
SERIAL.11:=: WIDTH= 14 LENGTH= 66 HE::Itgl-I'I= 10
STEM DESCRIPTION QUANTITY FIiEE. AMOUNT
------------------------- -------- -.-...._.......... ----
INSPE::C:TION FEE= 1 50..00
BUILDING SURCHARGE Y 3,50
PAYMENT SUMMARY,r.�%.tt.;F:,F;ri(..R..yF.u.aF.>f.y(.;Fx.aF.yFa(..x.aFaF�aF�a(aFai
PAYMENT DATE: RECEIPTPAYMENT AMOUNT
10/08/87 038 53..50
-------------
TOTAL
. _.. _.............. ---.......... _.. _..
TOTAL. DUE::.: .00 TOTAL.. PAID= 5:3.50
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
..------------- ------------ _._._._......_..__....._.._.._...-
MOBILE_ HOME PMT 5:3.50 53.50 100
53.50 5300 .00
PROCESSED D .iia'': FORRY, JEFI::
PRINTED BY: FORRY, JEFF
_ttiANK YOU ar.yE.e,r.tt..:E.n_}Ear:✓:n;.;E.yt..h.;[..a..yraE.x.a(..}t..tt....(..x..yE;E ....r.yi....}r