1988, 11-04 Permit App: 88003569 MHNOU-04—'8E 12:49 ID:HEALTH SFO
TEL NO:509-45E-4716 #269 F01
-- NOV-04—'88 11:33 ID:BLDG AND SAFETY—SFO TEL NO:509-458-4?03 #282 P01
PROJECT NUMB1 R'm 08 003569 t)ATE::,n, 4 1 /'i 4/86 PAGEm 01
App1..::I:C TION
* 4i- 4t ** * 4f 4t 441t 3t 4t . ar 44 44 at 44 44 4(• 4i• 4i 1+: 34 ii• 141(• 4t• 44 4( 44 44 0► APPLICATION
2/
SITE STREEla 520 SC)f RNAFi N'RD
AT)DRE,SSa SPOKANE WA 99212
31.1[1i•*1i•1i•4t .3....X34*** *34• 44*,,OE•ii**¥*3
PARCEL0= 23542-9020
PERMIT US"1:;:m REPLACE SINGLE WIDE: MOBILE / SAME SIZE AND ;;= OF BEDROOMS
PL.A'T'4u=; 999999 F'LA'T NAME= RANGE
BLOCK:_:: LOT= ZONE= ACGF.':I: I):I:,5''T'0=:a I:::
AREA74 0000 0000 '4/ 1/AE=; I:, WIDTH= ':r DEPTH= TH= : i 0 k/Wm 40
=A= OF BL..x)cr,S = 3 =w DWELLINGS= NG,S'r 1
OWNE:Rsa, BOB NT IL.,SON / I"'IiiGGY CRANE;;
STREET= :;;:20 S CARNAHAN FMX)
ADDRESS= SPOKANE WA 9921 2
P'IFI(:1Nl 1a= sop 299
7263
CONTACT NAME= I°''I":((xY CRANE: PHONE NUM OIii Rft 509 299 7263
BUILDING DING ,S'iETBACK.S` : F'Rc:INT=::, 35 L.,Ei:I"'"I"".. 51 Ftia;ckH'T'a 1(} REPO% 1004,
4t 1@ •x*444444444t4t1t**3t4t4t* 4444444t**4t*4t•*4t REVIEW ]:NFOFtiMAT;I'Ctd•X044003t4t4t.,4t4t44440444444444t#4t4t4t4t4t4t
)ATF
/00T INITIALS
DEPARTMENT NAhE REVIEW (;,OMME;:l~Nr-,
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ENVIRONMENTAL HEALTH INCREASE ly.„LCT COVERAGE
44114ii.4.1(4x04440S044444,4434•*44440444444W4
C uN I RiCTUk',,;; OWNER
MOBILE HOME PERMIT 44 44 44 4t 4t of 4)i 3' 4* x * 44 44.4 4 4t tit ,4.
YR/MAK1; m 1975 MODEL= GENTRY
SERIALOw WIDT•Hrx 14 L„Ei;NGrI'i:::: 70 Hr,:(cxHTa Ti)
PROCESSED w SEE BY ; ,sI.L..VA, DAVID w...
PRINTED BY : S I I.,.V A, D AV.I.J .- �.., ..
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,61.06,040
PARCEL ER:
INFORMATION WORKSHEET
5-- E
STREET ADDRESS: -
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT AREA:
# OF BUILDINGS:
OWNER:3c) N \ So
MAILING ADDRESS: C'
LOT: ZONE:
74 bisTRIcr:
F/A: WIDTH: 73 DEPTH: 3(0 R/W:
# OF DWELLINGS: WATER DISTRICT:
\ Y' e PHONE:
<1. - T3.f2
/ - 7 357
- A A
CITY/STATE/ZIP: /rici-dtkico2\
-
CONTACT:
92c2
PHONE: - 2ik7- 723
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
/? '7 RA! ek)
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ ENGINEER:
MAILING ADDRESS:
PHONE:
NEW: D : 'ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING:
HANDICAP: SEWER (Y/N): HYDRANT:
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
` Sewage Permit
"I
Plans Received
Plans Checked
.7T Plans Returned
\ Plans Picked Up
Plans Mailed
Heat. System(9. L A- A • Type of Roofing
Use of Bldg. _7
rciALLe....6.1ca2Li
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existini
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage
tem and water supply lines.
Ext. Finish _4..P.. z.1
14,(1A/ . No. of Units _ Bedrooms
"'"7"'""."
.- J v.
Int. Wall Finish .>%141L,t
PLOT PLAN
m
tti
-1
NORTH
/0
Hefio
SOUTH
I hereby certify information subitted is correct and there are no other structures located on this property e
as shown.
Z71a. (;)-7,/
//Cj
Owner or Agent
q - �--
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCE
THIS IS NOT A PERMIT.
r .j' 'L4
Your street address will be
DO NOT WRITE BELOW THIS LINE
the zone is at 2i�=LC,(.l CG'