1987, 02-13 Permit 87000343 MHSIGNATURE OF
OWNER OR AGENT
D(;TL-::.. 02I13{:..i
r
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675 ilesaidpermitistrueand
with scontained in it and submitted by me or my agent ome. said provisions t i e and
I orrect that a have examined I have
and u and tanstatdthatthe information CEprovisions
oincluded
herein oer n and agree
of a comply with
does not.All prometos ofve lawsauthand
correct. In addition, I have read and understand the NOTICE provisions included herein and agree to
Y
ordinances cancel this type of work will be compliedrlocal
with whether specified
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction —
APPLICATION
DATE
PROjECT N1.HiEt1:_R::.. G7000343
PERMIT i.1.sE:::::: SINGLE WIDE MOB1:L.i::: HOME
T S EE :: • 1920 E:: MANSFIEI...D v t 1 1.. ....
ADDRESS= SPOKANE WA 9920
PLATR..._ 9;}9994 PLAT I,.bE•• RANGE
OWNER= "(H:I:I F iMAN : Rt iYMrOND E ,
E 1 F:E:i i
ADDRESS= SPOKANE WA
CONTACT NAME- R( YMOND "yHIEF;.M tN
BUILDING SETBACKS: FRONT::::
i t)NTR 1..1 t" 4I::::: OWNER
R
i:;Cii'N:i'Rf )Cr••I•iOR= OWNER
FIRM ilr",IviE = OWNER
TRL=I:::'T:
PREVIOUS ADDRESS:
:
PARCEL 1I::
TR E'T=
DDFtF €:=::
`1 Mt 1<.I:::-- GO TAMARACK
K
1:_ R:1• 1' 1._
ITEM DEs R1P':LON
INSPECT ION FEE
BUILDING SURCHARGE
PERMIT INFORMATION ...................... ..
PARCEL 1.. NUMBER:::: 094i —0421
99212
/3-c
1:: F.1()NE:::: 509 924 1363
AVE
€j 1 N ks l ,( I k = 9.924.1:6
MOBILE I••i[::li'iE:.. PERMIT
WIDTH 14 LENGTH:::: 65 HE:I:CYHT= 10
PERM' T FEES
S
MEASURE
SECTIONS
'r' OR Tfi..J;NK
QUANTITY
1
i't i 1 T ::' I t:::
FEE AMOUNT
50.00
1.50
51.50
51,50
i
OWNER OR AGENT "A ""
PROJECT llC{R= 9700033 PARCEL t_~lLF= rc.{,?1
SITE STREET= 92MANSFIELD ill 'S7 E 55
F•1X?1JFtii::.:.>;-- Si..'(.!i<i`tI''•il::. WA '
9206
RECEIPT SUMMARY
PAYMENT DATE f=l:_(::.:::;:P-'( III PAYMENT AMOUNT
TOTAL
J-1L> :.:,00 TOTAL PA i;=
.., . .5 :
f- * .. •h;. •i¢ 3i: •Pi .;j..p} :p. •S(• id• •Jf• i((i * .7{. •t¢ ii: * i!. * .p, * * * * * * * * END 0 E R E I' O R t •: 'fit' ((- i((. " ( 3f, i ** # :Ji, * a(. 31; •t{• * 3f * * • * tl: -P: •fi; * •}4' '1'-r * § * 4(:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and
correct. In addition, I have read and understand the NOTICE provisions included herein and agree to comply with same. All provisions of laws and
torinancsodvio ateeorg canceloverning this type of work the provisions of anytll be s ate or lolied with whether specified call law regulating construction ln or not. The granting of a permit or the performdoes not presume to give authority
performance of construction.
ct on
SIGNATURE OF APPLICATIONDATE