1989, 06-28 Permit 89001985 MHw
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
S,PQKANE, WASHINGTON 99260
1509) 456-3675
I certify that I have examined this permit and slate that the information contained in it and submitted by me or my agent to compile said permit is true end correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agresto comply with same. All provisions of laws
and ordinances governing Shia 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 o rmance with the provisions of any state or local laws regulating construction. _ —
SIGNATURE OF APPLICATION
OWNER OR AGEN �� DATE /J
PROJECT NUMBER=: 80001985
DATE= 06/2809 PAGE- Al
ISSUED PERMIT
aea:: n: xau ta:;; ux�tafat s� at.�..x..n..,ett PERMIT INFORMATION k.x.x •.rr 'ri : ar ,e at ,fara,;.,e;s:;';::x;:;
SITE STREET= 11920 E MANSFIELD AVE 86 PARCELO= M09544 --608i
ADDRESS- SS- SPOKANE WA 91)206
PERMIT USE= SINGLE WIDE titlBIL..EE HOME
PLATO= MH0045 PLAT NAME= PINECROF`i MOBILE HOI'11:E PARK
BLOCK= LOT= ZONE= RHM DI:STO= F:
AREA F/A== A WIDTH- DEPTH== R/ IW::::
OF I3L_DGS= 0 DWELLINGS= i
OWNER= BARTHOLOME-=WS, GLENN PHONE= 509 926 5833
STREET- 11920 E MANSFIELD D AVE cab
ADDRESS= SPOKANE WA '=9206
CONTACT NAME= OWNER PHONE NUMBER::::
BUILDING SETBACKS FRONT= EXIS LEFT= EXIS RIGHT== EXIS REAR= EXIS
M. y..x...p..x. f(. �..g. .4....u..y; .tt..((..It..u..t(..A..h. #.k..x. �. 3i.. ft. �..#.
CONTRACTOR= OWNER
MOBILE HOME: PERMIT
PHONE=:
YR/MAKE- i978 GII RALT'OR MOnEEL-
SERIAL..'x:::: WIDTH= 14 LENGTH= 70 HEIGHT=: 10
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
I:NSPEC:'T'ION FEE i 30.00
STATE- SURCHARGE Y 3.50
COUNTY SURCHARGE Y 8.00
PAYMENT :SUMMARY
PAYMENT DATE REECEIPT4
06/28/89 2507
TOTAL DUE:::::: .00 TOTAL_ PAID=
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID
MOBILE: HOME PMT &.50 61.50
61,50 6150
PROCESSED BY: WE NDEL, GLORIA
PRINTED BY: WENDr:EL., GLORIA
PAYMENT AMOUNT
61.50
---------------
1 .50
AMOUNT OWING
--------------
.00
----------------
.00
THANK
Y O I_I h,..K..R..l(..v..n:..h..n..g..�(..y. �(.:p..n..N..y..R..g. y:: '.t..l(..x.. .. f(..p..R. y..�(..y_..n:..�..u.