1991, 04-16 Permit 91001846 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOI(AVE, WASHINGTON 99260
%(509)456-3675
1 certify that I have examined this permit/application, state that the informatio: 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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction./
SIGNATURE OF �fLJ/?�j APPLICATION
OWNER OR AG/ENT — YC/.�/ic-r f p�/�.-Z�_� DATE �
I::,R0JE:("T NUMDER= 91001946 ISSUED PE :RMIT DATE 04/16/91 PAGE= 01
14 ii•####1F#ii##'n klf####]e#######ie PERMIT INFORMATION
SI:TE:. STRE::ET= 11920 E MANSFIELD AVE :fib PARC'ELO= 09544-6060M
ADDRESS=- SPOKANE WA 99206
PERMIT USE= INSTAL..L.. SINGLE: WIDE MOBILE:: HOME:
PLATO= MEI0045 PLAT NAME= PINEC:ROFT MOBILE HOME PARK
BLOCK= I_.OT= ZONE= UR -7 DIST*= F
AREA== 00000000 F/A== A WIDTH= DEPTH== R/W=
OF BLDGS= 0 DWELLINGS= i WATER DIST = PI:NECROFT MHP
OWNER�� MEYER. DONEY PARTNERSHIP PHONE= 509 926 593;3
STREET= ii920 E:: MANSFI:E:LD AVE:
ADDRESS= SPOKANE WA 99206
CONTACT NAME= GLENN BARTHOLOMEW PHONE: NUMBER= 509 926 593:3
BUILDING SETBACKS: FRONT= 5 LEFT= 3 RIGHT= :3 REAR= 5
h. #. #....u..h..x. # #..h..h.. # ..h..h.. �. #. #..ri. *. #.h. #..k...%..
MOBILE HOME: PERMIT
CONTRACTOR= ALLIED CONTRACTORS OF SPOKANE PHONE= 509 922 020
STREET== 12624 E:: MAIN AVE:
ADDRESS= SPOKANE WA 99216
YR/MAKE=YR/MAKE= 1990 FLEETWOOD MODEL=
SERIAL_>= WIDTH= 14 LENGTH= 70 HEIGHT= if)
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT
------------------------- -------- -----._...-___--..
INSPECTION FEE i 503 001
STATE SURCHARGE. Y 4,50
COUNTY SURCHARGE:: Y 9,00
PAYMENT SUMMARY
PAYMENT DATE RE::CE..IPTO PAYMENT AMOUNT
04/16/91 2073 62,50
-.. _.. _.. _.. _.. --.. ...........---
TOTAL
... .TOTAL.. DUE= .00 TOTAL PAID= 6200
PERMIT TYPE:: --FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOftll..E HOME: PMT 6200 62.50 .00
---------- --- ------------
62.50 62.50 .00
PROCESSED BY: JOHN L.ARSON
PRINTED BY: ,.JOHN L.ARSON
THANK 'i O U