1991, 10-11 Permit 91006772 MHSPOKANE COUNTY UL'ARiTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
• (509) 456-3675
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 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 OWNER OR GENT 7w�`.i— APPLICATION �Q ��. 7c
•
�
DATE
PROJECT NUMBER-:: 91006772
ISSUED PERMIT 1 a
4.t 0/ 1 1 / .; 1 P F.i I..T t::. _. 01
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'M' T: It ik it 3L• �t * �!• * JL 7l• n• )h is -ri• }i,• •N: 9L :yi. �i JL- P: -P: )t• �{• a: 3l PERMIT .[ N E O F'tt m r'1.T..T. t7 N 1E )f• is * i4 ir• * }{• 'i{• •i~ •'tE •'r.• iG n * it -rt * * * * n it k • x• it ae
SITE STRE_E_T= 11920 E 1ANSF1:ELD AVE 9:084
ADDRESS__ SPOKANE WA 99206
PERMIT USE=:: SINGLE WIDE MOBILE HOME
Pf._ATO:::: MH0045 P'L..A'i NAME::::: F'INECROFT MOBILE HOME PARK
BLOCK:::: I...CI'T'=:: ZONE= UR....7 D:I:ST4:= F
AREA : 000000 0 F/A = A WIDTH:::: DEPTH R/W:::
OF EtI...DGS= •i 4 DWELLINGS1 WATER D:lsr = PINEC'ROF- T MHF
OWNER- FORD, JANIN1= K PHONE=
STREET- 11920 r MAT >I 1:E"LD AVE:: 0084
ADDRESS= SPOKANE WA 99206
CONTACT NAME::::= GENE" FORD D PHONE Ni Ii1r.t- R= 509 9 924 5972
BUILDING SETBACKS: FRONT:-: to i._EFT= 5 RIGHT:::: 3 REAR:::: 5
MOBILE HOME PERMIT * * * -lt 'P: 'P: '..... '' •) ..j(..h..A..j(•'y4 •yl h:' A: •JF ...k..k.*..*
CONTRACTOR:::: OWNER F IIONE::-
YR/MAKE= 1977
SE::RIAi..O=
F'AR:CEL.:M= , 9544....6079M
MODE:L..= K :r T
W.I.Dr'i'I•'I= 14 LENGTH:::: 70 HIE:EGHT= 1 C
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
INSPECTION FEE 1 50.00
STATE SURCHARGE `f 4.50
COUNTY SURCHARGE Y 0 :• 00
ii*lfig*t j3E )rr*y})l!N*it )1)HH}HPAYMENT r _ my3i"l)Fl*Y**k)*1*)!'**A****p**L*I*
PAYMENT DATE:: E E::C'E::1r'T4: PAYMENT AMOUNT
1 0/'1 1 / `i'1 7709 62.50
TOTAL.. DUE= .00 TOTAL PAID:: 'f;?n 50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 62.50 62.970 .00
62.50 62.50 .00
PROCESSED BY: JUI_.I.E SHATTO
PRINTED BY: ..JLJI._IE:: SHATTO
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