1989, 12-14 Permit 89005202 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, W� 6HINGTON 99260
(509) 456-3675
I certitythat I have examined this permit and state that the information contained in itendsubmitted by me or my agree to comply
permit Ais ll provisions
correct. in
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions inclutled 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 Dermic end 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 c ormencewith provisionsY state or local laws regulating construction.
SIGNATURE OF ��//i/J,e-�c_'r�. _J DATEAPPLICATION /�
OWNER OR AGE �I 1c 7
PROJECT NUMBER= 8900520'
wATF i 90 <1l,Fi.:,
ASHFD PERMT".
-x n"i2'R ii'nan: x'ii'8ih n. xti'��i 7;. it i�'r'fi 'n ai�tt# I'L:IE.,T i lWrO.K": l.,
SITE STRlii'ET::: 'i i `i''<20 FC MANSFIELD AVF 090 PARCEL*- 09544--60H5 .,;
ADDRESS= SPOKANE WA 99206
PERMIT USE= SINGLE WIDE MOBII...i'r.. HCiMI41:
PLATO= MH0045 PLAT NAME= PIRF .:I OrT :
BL_OCQ: LOT= ZONF= RMH Di:STO= I"
AREA FIA::= A WIDTH= DFPTH-
OWNER== FERGER, DUANE PHONE:; --
STREET=
STREET::= 4S920 I::: MANSFIELD AVE 0090
ADDRESS== SPOKANE WA 9''_ 06
CONTACT NAME= GLEN BARTHOLOMEW PHONE: NUMBER=: 509 926 '3:=N
BUILDING SETBACKS: FRONT= EXIS LEFT= E:XIS RIGHT- E:.XTS REAR- EXIT
CONTRACTOR= OWNER
YR/MAKE- 1975 BROADMORE:
SERIAL.n. __
ITEiM DESCRIPTION
----------------
INSPE::f:','T'7:faN I
STATE SURCHARGE.
COUNTY SURCHARGE
MOBILE HOME PFRM.II
PHONE=
MODEL::::
WIDTH=: 14 LENGTH= 64 HEIGHT= 'iO
PUAN'T':I:T`r' FFF AMOUNT
50, oo
Y 4.50
Y &:.tri0
u)9r:;+)ii'ii ii dt ri it i:i iri li ii dri'i:it§i nr iF di it �i")F ii..it..iE.)i )F d4 tf ii:
PAYMENT St.illliAR'P Ni i•:'ii"hi de ��t'.ei4#'3i�ftiP ii'iiii�9F �i6 i@ari'ii. di ?k b; iF �M��i: d:))i.
PAYMF& RECC;EL:IPT'w PAYi'4FNT AMOUN-1
1204/89 340
TOTAL jlt:::: .00 A_ `q 1 -
:
PERMIT TYPE
---------------
MOBILE
-------------
EE: AMOUNT
62..'50
-------------
PROCESSED
................._............-........_........
,.. R..,C ...: .,....rn :... N .-.. I.,
''1'<l.!l: "' is 1.::..V n: ( lq F:. I`:.�:�...
PRINTED ,1,:: 7 : lr) i::. i'i T71:_ L. , GLORIA
AMOUNT PAID
------------
6
.........................-............_
> 9 r,
...............................................
, 0"-
THANK
-
'f'F IANK YOU I i