1992, 03-09 Permit 92001238 MHBUILDING SETBACKS: 1' RON 1 == 20 LEFT" 5
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 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 permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this it/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions ystate or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATIONS —, ?'
OWNER OR AGENT `� DATE
F'RO,JECT NUMBER= 9200127R ISSUED PERMIT
DATE= E= 03/09/92 PAGr = 01
9htiL9hahRaMt*lL•yS•****3t*3t•****7E9i•ikit*** PERMIT INFORMATION yr •r****#*** ***3.3:k*uai;nriri•ii• ***
SITE STREET= 19114 E CANE CIR PARCELO= 's - s 57-25 7
ADiDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT 0= 001407 PLAT P A iE= LABERRY MOBILE PARK ADD
BL.00iC= r� 6LOT= 23 .�Or'JE= UR—; uIST4= ...
0
Ly
AREA= 0000000 i=/r`-i•= F W:iDTH= DEPTH= ice/i,
OF BLDGS= i 0 DWELLINGS= •i WATER DIET
OWNER= VANDER DOES, DAVID be BRENDA PHONE=
STREET= 19114 E CANE CIR
ADDRESS= GREENACRES WA 99016
CONTACT NAME= BRENDA VANDER DOES � NUMBER=5 45 : .2 91
PHONE _ :��
R:i =HT= 5 REAR= 10
4l 1t it 3l A 7L• yt yl• N: yL P• 1t R P: * * * 7l 3t * 9l l• 7!• J>; .• R P: t ih R MOBILE HOME PERMIT l R 7k t k k E l N !* h* Yt YPP3*7i7i 7
CON T RACTOR= OWNER
YR/MAKE= 1972
5E_R I ALO=
ITEM DESCRIPTION
PHONE =
iODEL..= CHAMPION
WIDTH= 24 LENGTH= 60 HEIGHT= 1
QUANTITY FEE AMOUNT
INSPECTION FEE 2
STATE SURCHARGE
Y
COUNTY SURCHARGE Y
7kyt'yi•yh* ****lt•Yh3i7F9:7t*yL' i:92'yt*R7t•7L•9t3L•7 ***
PAYMENT SUMMARY
00 el
1R.,00
#** k*** ii•ai li: yi•9: y87eyi• i>: ii u ri iE R ** it x ii•:R
PAYMENT DATE RECEIPT-0 PAYMENT AMOUNT
03/09/92 1 556 12250
TOTAL DUE ,.00 TOTAL PAID= 12250
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT
.2 . 50
PROCESSED BY: .JUL I E SHAT T O
PRINTED BY: ,.,UL..1.`. SHA T i O
**!F!Y9l!hY:•ii**.11.) itf+•9:*9k****AR •$,tit) #7tR
122_50
THANK YOU
1 a.2., _ E)
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