1990, 02-14 Permit 90000548 MH-' r
SPOKANE COUNTY DEI-'4RTMENT OF BUILDING AND SAFETY
W. 43(1,3 t?OADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application, slate that the inform tion contained in it and submitted by me or my agent to compile said perm it/application is true
and correct, and authorize Spokane County to proceed with procesung. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisi ,ns of laws and ordinances governing this type of work will be complied with whether specified
nt
gherein or ive authorriitylto violateo cancel the provisions of athat the issuance of this nystateorrllocal' w regulating coior and any nstruction, or as a warranty of conforovais or rcaNs mance eowith the provisbos ofany Mateconstrued
or Mal
laws regulating construction.
SAPPLICATION
SIGNATURE OF
OWNER OR AGENT t DATE
PROJECT NUMBER= 90000 s48 Y'ST :: ;.7' ERAI9ry PAGE= 01
PERMIT INFORMATION
SITE
STREET= 1192 i) E: MANSE'IEI_.D AVF 133 E'AF:f.;El._m:= 09544-6122M
ADDRESS= SPOKANE WA 99206
PERMIT USE= SINGLE WIDE. MOBILE HOME
PLATO= MH0045 71T NAME- PINECROFT MOTt:ELE HOME PARK F.
BLOCK ---::LOT= ZONE== RMH DIST"-: h;'Id=
AREA: x F/ A= A WIDTH- DEPTH -
0 OF EtLDGS= m DWEI._L-INGS=•: 1
OWNER= RALPH. THEODORE:"/ PHONE= 509 328 4710
STREET= 1303 N WALL.. ST 0005
ADDRESS= SPOKANE WA 99205
CONTACT NAME== OWNER PHONE NUMBER-.:
BUILDING SETBACKS: FRONT= EXIS LEFT= EXIS RIGHT= EXIS REAR= EXIS
MOBILE HOME: PERMIT •J . E t{. t..k. E .� � .x..x..tE .� .p..X..p. j{..M..X..#. #.M..tt .#..tt. .p:.
CONTRACTOR= OWNER ('-'HONE-::
YR/MAKE= 1975 FLEETWOOD MODEL=
SERIALx:_: WIDTH= 14 1._ENGTH:= 70 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------- ----------...._.._
I:NSPE:C:TI:ON FEE 1 50.00
STATE SURCHARGE. Y 4.50
COUNTY SURCHARGE: Y 8.00
E#####•#############•########### PAYMENT SUMMARY
" AYMI::'i, TDATF i E::CEIPT4 PAYMENT AMOUNT
02/34/90 701 62.50
--__._...____-........ --_..
TOT'AL.. DUE== .00 TOTAL- PAID= 62.50
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ---..__.._.-----------
MOBILE: HOME: PMT62..5062.50 .00
---_.._.__.._._-_.......-----....---.....----
..............
62.50 62.50 .00
PROCESSED BY: WENDELGLORIA
PRINTED BY: WE::NDEL: GLORIA
xx'###•###•##•##•u•'u•#####.#.###..x.##x##+## THANK YOU #.•E.III.E.F'A###")E#"E#M"IF'YF'N#'#'A'#3Ej..EK..p...Q..EI{"l:'N"Y: