1992, 06-01 Permit 92003885 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAYtAVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 tante a provisions of enystate to cal law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF // ' APPLICATION
OWNER OR AGENT DATE
•ON V
PRO.. ECT NUMBER. 920036885
di. qp .a. ii9iiidi' i4 9'U ii' ii' iE P)'uit ii: ,,. 0Y)36'ie ii..k.._.tt.ISSUED
;SJFJ F=FhE1DATE= PAGE -
PERMIT
,:E:PEPM11INFORMATION ,
.I. rt F Il i11 Y Ii T �, C I �
SITE STRE:ET-
1 ' 920 i::.
MANSFIELD AVE0088 E'f`7E':(.IC.1._:":::::
OY544 -603; M
ADDRESS=
SPOKANE
WA 99206
FEE. AMOUNT
PERMIT USE=
SINGLE
WIDE MOBILE
I"iOI"E:
_
STATE. SURCHARGEY
PL..A7O=10
1"11"10045
PLAT NAME-
PI.NE.I.ROF'I MOBILE
HOME PARK
i+l.00:i(::::
.n. rt..n..tt .0 ee di� iE:ni .ii.
LOT-
ZONE=- UR -7
DISTO—
ARE::A-
00I)00000 F/A=:
A WIDTH=
DEi:PT't'i-:
OF BL.DGS =
i
0 DWELLINGS=
1 WATER DIST
-- PINEC:ROFT I"Pi-F
OWitiEac=:: ELLIOTT, DENNIS PHONE- 509 927 9457
STREET- ii920 E MANSFIELD AVE 0098
ADDRESS= SPOKANE WA 9 206
CONTACT NAME= DENNIS ELLIOTT i'i-inNEi: NL,iiiltFR=: `?C:ity l:,'.t
9457
iii.ii.i.._DING SETBACKS: FRONT= =3 LEFT= 5 RIGHT= 5 REAR- 5
CONTRACTOR= OWNER
YR/MAKE= 1974
MOBILE lllll"iE PERMIT
MODEL= =: VAN DYKE:.
PHONE --
SERIAL..A—
WIDTH= i4 LENGTH-
64 HEIGHT=:: 10
ITEM DESCRIPTION
QUANTITY
FEE. AMOUNT
I:NSPE.:CTION FEE:
` 0..00
..4.50
_
STATE. SURCHARGEY
COUNTY SURCHARGE
Y
=1..001•
.n. rt..n..tt .0 ee di� iE:ni .ii.
se 1! it d6 dE dE dr ie v iE dE i4 ii' i(' .Y..k. ii—k ii� ie rri. PAYMENT SUMMARY �>•) i(' i� �it u �x' m: iE ie'ii� i'i at it �tt .k )i..h..ii..ii..x vt er d>. i� iP ii or it
PAYMENT DATE::
REECEEIETO
PAYMENT (AiiMOUN-f
06/01/92
4080
tr3:._}ta
TOTAL D4.1E:.::::
.00 1 t_! I 1-71... PAID-
66.50
P:f:::F'iMIT 'TYPE: FEE::
iA)hi)':cUNT AMOUNT PAID
AMOUNT OWING
_......_.........._.._......_.._......_..—
--------------- ......................_._.—........—
MOBIL_E:
_.__........_.._._........—
HOME. PMT
------------
63.50 63 50
,00
5
t:J
PROCESSED
BY: jULIE SHAT00
PRINTED
BY: .jUL IE: SHATTO
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