1987, 04-01 Permit 87000811 MHSPOKANE CO&Y DEPARTMENT OF BUILDING AND&ETY
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 mew my agent to compi le 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
ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority
to violate or cancel the provis s of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATION
OWNER OR AGEN /� I^^""' DATE
PROJECT NUMBER= 87000811
DATE= 04/01/87 PAGE= 01
PERMIT INFORMATION
SITE STREET= 11920 E MANSFIELD AVE 6108 PARCELO= 09544--0421 P'T'N
ADDRESS= SPOKANE WA 99206
PERMIT USE= SINGLE WIDE. MOBILE HOME!
PLATO= MH0045 PLAT NAME=. PINECROFT MOBILE HOME PARK
BLOCK= LOT= ZONE== RMH DISTO== I"
AREA= 000000010 F/A= A WIDTH= DEPTH= R/W::::
0 OF BL..DGS= 0 DWELLINGS= 1
OWNER= BORIE..S, LINDA PHONE= 509 920 11353
STREET= i 1 920 E:: MANSFIELD AVE. 01011
ADDRESS=': SPOKANE WA 99206
CONTACT NAME-: OWNER PHONE: NUMBER= 509•-928--1853
BUILDING SETBACKS: FRONT- LEFT= RIGHT== REAR=
MOBILE HOME: PERMIT
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CONTRAC'T'OR- OWNER PHONE:.-.:
YR/MAKE=: MODE:.L=.
SERIAL*.-.-. WIDTH= 12 LENGTH== 60 HEIGHT- 10
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
_..--.-.......- ----....... —----.._—-.._--..-.-... — --------
I.NSPE:.C-i ION FEE! 1 50.190
BUILDING .SURCHARGE i 1.50
PAYMENT SUMMARY
PAYMENT DATE RF.CEIPTO PAYMENT AMOUNT
04/01/8'7 1 094 0,50
TOTAL- DUE:= .00 TOTAL.. PAID= 51.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ----
MOBI.LE:. HOME: PM'T' 0.50 0.50 .00
------------- ------------ ----....----
5i.50 51.50 .00
PROCESSED BY: MASCARDO, GODOL.FIN
tt ar # # # .y...ix.. A..u..h..n: # a(.....%.h..tt..h...x..ri..n...x..ri..tt. #..h..%.n..u. 'THANK Y O t.J