1990, 02-06 Permit 90000439 MHS is -
SPOKANE COUNTY,rEP,4TMENT OF BUILDING AND SAFETY
ot
W. 130:. BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I 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 perm it/application is true
and provisions included authorize
and agree to County
omply with same. All provisionsplof laws. In ddition, I have read and and ordinances governing this rstand the type of work willl be complied ECTION REQUIREMENTS/NOTICEhwthr 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 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.
APPLICATION _ (� / — l q 0
SIGNATURE OF i DATE
OWNER OR AGENT
Hi: CT NUMBER= 90000439
*3**3•*****3•*****************
SITE STREET= 11920 F MANSFIEL..D AVE 4 i 1 2 PAR:CEL4= 09544--6i 04H
ADDRESS=: SPOKANE WA 99206
PERMIT USE= SINGLE: WIDE MOBILE HThE.
PL_ATx- MH0045 PI -.AT NAME.= PINECROFT MOBILE HOME PARK E..
k:BI...00K-= LOT= ZONE"= PMH if>:i:ST:N:_
AREA::` f-••/A- A WIDTH=: D1-.F'TH= R/W
4 OF } L.I)GS= 4 DWE::LLING,S== 1 000
OWNER- BURRII-.1... , KEVIN PHONE= 509 926 8061
STREET=: R707 E (:;FACE:: AVE
ADDRESS : SPOKANE WA 99212
CONTACT NNAME= OWNER PHONE' NUMBER::
BUILDING SETBACKS: FRONT::- NA LEFT= NA RIGHT= NA REAR = NA
•rti•ir:•: **•*•***•*****...x.:************* MOE:tIt..E HOME PERMIT .*.*..**•*•****••u•*•x•*.*•r:••ii••h.***.,..b:•**u
CONTRACTOR= OWNER f-`H(:INE. =
YR/MAKE= i 969 SAHARA MOT)F:L=
SEPIAI..4• WIDTH::- 12 L.E.NGTH= 60 HE.IGHT=- 10
ITEM DESCRIPTION QUANTITY FEE _AMOUNT
INSPECTION FEE i 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y B.00
*******3 • :•*******•********** *** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT-4 PAYMENT AMOUNT
02/06/90 576 62.50
__________
m
TOTAL DL.1E= .00 TOTAL PA:tD:- 62.50
PERMIT TYPE
MOBILE HOME PMT
PERMIT INFORMATION
******• .*3f *******************
FEE AMOUNT AMOUNT PAID
L !l 62..50
6.y . 50 62.50
AMOUNT OWING
.00
.00
PROCESSED BY: : WENDEL. , GLORIA
PRINTED BY: WENDEL, GLORIA
*..y,:**********•X3:•)***************:* THANK YOU*x•***x..b....*.a...x********at•******•x••x••x•**•*