1989, 05-05 Permit 89001172 MHSPOKANE COUNTY DEPARTM'NT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compilesaid permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 permit 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 s or local local laws
regulating construction.
6-
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 89001172
APPLICATIO
I )ATE - -f
DATE= 05/05/89 Ps G[: = 01
ISSUED PERMIT
iE9EniEiF•lE*)k3E9E•I * 3i]i:•7E*7@]E9EiEifak*i *** PERMIT INFORMATION *xrx*u*ii•a ar****x*3t3:3e**** )i:*
S]:TE STREET= 12508 E 4T1-( AVE PARCELv:= 22542-1423
ADDRESS= SPOKANE WA 99216
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLATv = 004201 PLAT NAME = SF'-460
BLOCK= L.OT= 2 ZONE= AGAR]: DISTt= F:
AREA= F/A= F WIDTH= 165 DEPTH= 102 R/W= 50
4 OF BLDGS= 1 t DWELLINGS= 1
OWNER= DALE, ROBERT B
STREET= 12508 E 4TH AVE
ADDRESS= SPOKANE WA 99216
FHI_INE= 509
`i 7873
CONTACT NAME= OWNER PHONE NUMBL:R==
BUILDING SETBACKS: FRONT= 69 LEFT= 5 RIGHT= 69 REAR::= 30
3• *• **•*•r**tt**** *u tttt****** MOBILE HOME PERMIT xa>ttx•tt*ttxtt*ac**tttt**xxrx rhh*
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1989 MODULINE MODEL= WARWICK
SERIAL= WIDTH= 28 LENGTH= 66 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
BUILDING SURCHARGE
QUANTITY FEE AMOUNT
2 100.00
Y .50
tt*****leJt*x•r:•r:**** xr:tt•r:*** )*) *3 * PAYMENT SUMMARY ******x****x*k•x•uacai**** xxF**
PAYMENT DTE
TOTAL ._•'.:
PERMIT TYPE
MOBILE HOME PMT
RECEIPTt PAYMENT AMOUNT
1 471 107,0
------------
,.00 TOTAL PAID= 103.50
FEE AMOUNT AMOUNT PAID AMOUNT OWING
103.'5C'
103.50
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
103.50
.00
.00
:***k: u:,r.r:*tt*tt*ux*•r:•a :•y!•K*** ****cx THANK YOU *n*****>:•r:•****tt•• •xat•*h•>*********•x**