1991, 06-28 Permit App: 91003805 MHSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROAI WAY 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 permit/application 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 state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91003805 APPLICATION DATE= (36/28./91 PAGE= 01
****** THIS TS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19018 E BUCKEYE. AVE PARCEi...w-•: 08552.-0406
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT LUSE=. SINGLE WIDE MOBILE HOME -- REPLACEMENT
PL..ATt== 0001.5 PLAT NAME== BARKER POAD MOBILE HOMES ADD.
BLOCK= 3 LOT= 6 ZONE= UR -7 DIST4=G
AREA= 00000000 F/A== A WIDTH== 70 DEPTH= 120 P% W:=: 60
:u• OF BLDGS= 1 N DWELLINGS= 1 WATER DIST -:
OWNER= STUART, LUSTER & MARY
STREET= PO BOX 14241
ADDRESS= SPOKANE WA 99214
PHONE= 509 926 3764
CONTACT NAME= LUSTER OR MARY STUART PHONE NUMBER== 509 926 3764
BUILDING SETBACKS: FRONT= 20 LEFT= 45 RIGHT= 50 REAR= 25
3t** •• :•* :******* •**• **** ** *** REVIEW INFORMATION! *******agar•• •* •*** *******
DEPARTMENT
REVIEW COMMENTS APPROVAL. COMMENTS
BUILDING SETBACK REVIEW REQUIRED
HEALTHDIST INCREASE IN LOT COVERAGE
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CONTRACTOR • OWNER
YR/MAKE= 1978
S F..: R I A L., ==
PROCESSED BY : ,JULIE SHATTO
PRINTED BY: JULIE: SHATTO
2S. 47'4.(l
MOBILE HOME PERMIT ***********'*************4(
PHONE~
MODEL= r° -ALLEN HOME
WIDTH= 14 LENGTH= 70 HEIGHT=:: 10
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