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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 'T'E7I:.NK YOU