1991, 06-26 Permit 91003677 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
6 ' (509) 456-3675
me or
andlication is true
ncforrectl and authorized this Spokane 1County toon. state proceed with processing. t the tion contained in it and subff In addition, I have read land ued nderstand the INSPECent to T ONle aREOUIREMid Perm ENTS/NOTICE
provisions includetl herein agree to comply with same. All provisions of laws and ordinances governing this type of work will becomplied with whether specified
approvals or Certificates
here
give
to vtlolateao cancelthe prov sionsof anystat rlocallaw rregulating construction, or asawarranty of conforlmance woccupancy
h theprovisioos of anystatel not be truored tocau
laws regulating construe wn. / _ /^ _ /
SIGNATURE OF \, n APPLICA ION(/
OWNER OR AGE DATE.,..
Ova6'/r
PROJECT NUMBER= 0003677 ISSUED PERMIT DATE- 06/26/91 PAGE=: Mi
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PERMIT INFOt: MA fIOid
SITE STR:EI:"T== ii920 E MANSFIELD AVE '»i19 PARC:.L..M::= 09944--6iiAM
ADDRES'S::= SPOKANE WA 99206
PERMIT USE= SINGLE WIDE MOBILE HOME
PLATO- MH0045 PLAT NAME= PI:NECROFT MOBILE HOME PARK
BL..00K LOT- 119 ?ONE RPM DIST.:-- E:
AREA= 00000000 i/A= A WTDTH DEPTH= R/W=:
.R OF Ii L_DtrJ=:: w
DWELLINGS= WATER DIST =
OWNER-: i3 EtE:7.A,. DEBBIE.p ,i
PHONE= _`?09 926 3966
STREET= i i 92() I: MANSFIELD AVE 9
ADDRESS= SPOKANE WA 99212
PHONE NOISE+ER=:: `309 9:.6 39r. A
CONTACT NAME=DEBBIEI3RE"'."A !.; REAR= =S
BUILDING SETBACKS: FRONT=:: .r LEFT= 5 RIGHT= ..
ate.: ,i...h..,i..k...;..4atac......k.:..y;.tt..u..,:.c..i.�:..i..f....h.
MOBILE !-TOME: PERMIT .....h.�.�p..i.�. c....x.;;..c..:.y;:n:.i.ai�;tt•,t...:a:;i
CONTRACTOR= UNKNOWN PHONE:::=
STREET- UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= MODEL..
SERIALO:::: WIDTH- 00 LENGTH= 00 HEIGHT=: 00
ITEM DE::SCRI:PTI:ON QUANTITY FEE: AMOUNT
_.............——_._.._..—_..__.._........... —__.._..............--
--------
-------..--........_..
_
INSPECTION FEE.
50.00
STATE SURCHARGE Y 4:.50:1
COUNTY SURCHARGE:: Y £4..00
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PAYMENT DATE; RE::CEIPT4 PAYMENT (-AMOUNT
06/26/91 032 62.70
------------ -
TOTAL DUE:::: .00 TOTAL PAID= 62.50
PERMIT TYPE" FEE AMOUNT i-i'rfC.UNT PAID AMOUNT OWING
------------- ------------ _--_.._....---......-------
MOBIL_E:: HOME: PMT 62.50 62.50 .Oti
a--- __...--
c.— ................_._....
62.50
PROCESSED BY: i=ORR:w, JEF1'
PRINTED BY: FOR:RY, JEFF
THANK 7 O I.I !l'M' il"�. h.' iF 1�')l' fi it A..,k T' M",1. )l' if' it A"�:. ,{..,(. ,[.:A: ,h")t;. ,4. ,(.:p..,i..11..,A• y�:
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