1987, 10-02 Permit 87003312 Gas Hook UpSPOKANE COUNTY DEPARTMENT QF BUILDING AND SAFETY
NORTH 811JEFFERSON
SPOKANE, WASHINGTON 892UO
(509) 456-3675 m^mp^,mo/o*o««,m"»'**m
conimmad 4 it and submitted by me or my agent to comp, mi provisions of lawsile and
have I er it a that me mi W nd agree to comply wit Sam
I certify that I hav, ex t is I P N REQUtREMENTS/NOTICE provisions included herein a
addition, I have to d n un ers n t at the issuance of t is perpi :d any subsequent inspection
a ruction, or as a
oradinwam"es governing I t e of ork will ied whether specified herein or cf. understand Me
a str,e to give authority to violate or cancel Me proMian of any MaMle, or Z1,11 rog'
warranty of corrforma cc 1 t In mo set n Is or lo al laws regulating construction, AWUCATI04N
SIGNATURE OF A DATE
OWNER OR AGENT /
PROJECT NUMBER= 870833i2
DATE- i8/82/87 PAGE= 0'
**********************
************«*************** PERMIT INFORMATION ******
SITE STREET= 11928 E MANSFIELD AVE 0119 PARCELO= 89544-842i
ADDRESS= SPOKANE WA 99286
PERMIT USE= GAS HOOK—UP
PLAT*=
MH8845
PLAT NAME-
PINECROFT MOBILE HOME PARK
BLOCK:7
LOT::::
ZONE= RHM DI%TO= E
R/W�
AREA=
88888880
F/A=
A WIDTH= DEPTH=
0 OF BLDG%=
0
DWELLINGS::;:
OWNER=
JONES, ERYL
O
PHONE= 589 922 1735
STREET=
11928 E
MANSFIELD AVE 66
ADDRESS=
SPOKANE
WA 99286
CONTACT NAME=
OWNER
PHONE NUMBER= 589-922-1735
BUILDING SETBACKS: FRONT=
LEFT-
RIGHT- REAR::::
******************************* MECHANICAL PERMIT **************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
—~---~---------'-----~---
PROCE%%ING FEE
GAS PIPING
MINIMUM FEE ADJUSTMENT
PHONE::::
QUANTITY FEE AMOUNT
'--'---- ~--~----'—
Y i5^88
j ^58
Y 4`58
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
18/82/87 4835 28^88
--'-------^—
TOTAL DUE:,-: ^88 TOTAL PAID= 28^08
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ----'------~— -------'--~— ------------
MECHANICAL PRMT PRMT 28'88 28^08 08
-------'----- ------'----- --'--~-----^-
28^88 28^08 188
PROCESSED BY: MA%CARDO' GODOLFIN
******************************** THANK YOU *********************************