1992, 08-19 Permit 92006644 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/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
herein and agree comply with same.All provisions of laws and ordinances governing this rstand the INSPECTION
of work willbecomplied with EwhetJspecifiedREQUIREMENTS/NOTICE
provisions to
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 cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
%
laws regulating construction.
SIGNATURE OF APPLICATION /9—
/.�' .� =. . I / _ DATE /
OWNER OR AGEN • -
PROJECT NUMBER= 92 006644
VOID
ISSUED PERMIT DATE=: 08/19/92 PAGE== 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11920 E MANSFIELD AVE:: -4099
ADDRESS= SPOKANE WA 99216
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT4= MH0045 PLAT NAME== PINECROFT MOBILE HOME PARK
BLOCK=: LOT= ZONE= UR- i DIST ::=
AREA-: F/A= F WIDTH= DEPTH:=
ir OF BLDGS- ; DWEL..L.INGS= i WATER DIST =
OWNER= ROBERTS, DALE
STREET= 11920 E MANSFIELD AVE 4099
ADDRESS=:: SPOKANE WA 99216
CONTACT NAME= DALE: ROBERTS PHONE NUMBER=
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT::= NA REAR•= NA
*************** •*x******x*** : MOBILE HOME PERMIT ' *** ******x * •****tt..h..x *
PARCEL.4=• 45094.6094M
FI
CONTRACTOR-- TAYLOR TRAILER TRANSPORT
STREET= 10914 W SNUSET HWY
ADDRESS== SPOKANE WA 99204
YR/MAKE=
SERIAL4=
PHONE=
PHONE= 509 244 2505
MODEL=
WIDTH= 10 I...E:NGTH= 56 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
—
INSPECTION FEE i 50,00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE: Y 9,00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
,- n
08/19/92 6�?4 _._.._____63 ,50
TOTAL. DUE= .00 TOTAL PAID== fi 3.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 63,50 63,50 .00
63.50 63.50 ,00
PROCESSED BY: WENDEL_, GL..ORIA
PRINTED BY: WENDEL, GLORIA
******************************** THANK YOU *******************************'*