1992, 04-27 Permit 92002859 MHSPOKANE COUNT? DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
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 permiVapplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisio l any state or local law regulating construction, or as a warranty of confor nce wijthpeprovisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION C�-••�
OWNER OR AGENT 4
DATE !a\
PROJECT NUMBER- 92002859 IS'SUEI) PERMIT DATE= 04/17./91 PAGE=
PERMIT INFORMATION
SITE STREET= 11920 E MANSFIELD AVE 0096 PARCEL",= 09'-544-6005M
ADDRESS= SPOKANE WA 99105
PERMIT USE= SINGLE WIDE: MOIiI.L..E HOME
PLATO= MH0045 PLAT NAME== PINECROFT MOBIL..E. HOME. PARK
BLOCK= LOT= ZONE= UR -7 DI:STO= H
AREA F/A-: A WIDTH== DEPTH==
9'
OF EIL-DGS=: i 4 DWELLINGS= i WATER I.)IST
OWNER=:: HYNN KUHR, TE -RI PHONE= 509 921 5682
STREET- 11920 E:: MANSFIELD AVE 4096
ADDRESS=:: SPOKANE WA 99106
CONTACT NAME= TERI HYMN KUHR PHONE. NUMDE::R= 509 921 5602
BUILDING SETBACKS: FRONT= 4 LEFT= `i RIGHT= 5 REAR== 5
MOBILE H0ME PERMIT
CONTRACTOR= OWNER
YR/MAKE= 19£33
SERIAL,:=:
I'T'EM DESCRIPTION
--------------------
INSPECTION EEE
STATE SURCHARGE
COUNTY SURCHARGE:
PHONE=
MODEL= L.I.BERTY
WIDTH= 17 LENGTH== 70 HEIGHT= 00
QUANTITY FETE AMOUNT
---- •---------- ------------
1
_------..__.._..-
1 `.?0.00
Y 4.50
Y 9100
PAYMENT SUMMARY #####iiiiie ri###•)k§e#k,r iF##s:uie#ie #di..ti.
PAYMENT DATE
RE::CEIPT4
PAYMENT AMOUNT
04/27/92
3063
63.50
. -...-.-..-.-......--...-
-
TOTAL. DUE::=
TOT
.00 TOTAL
PAID=
-----------
63.50
PERMIT TYPE: FEE
AMOUNT AMOUNT
PAID
AMOUNT OWING
--------------- -------------
MOBILE HOME PMT
--------
63.50
--- - -------------
63.50
.00
- -----
---- --- - ------------
6d.50
63,50
63,50
---------------
---..-.....------------
.00
PROCESSED
BY: DOMITROV.T.CH.
RODIN
PRINTED
EtY: DOMITROVICH,
ROBIN
# dF..a..k..h...x..M. # # # #..lh ii ii # # #1i• # #.. #...�..p. t{.M..K.. THANK YOU