1988, 06-13 Permit App: 88001531 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 compile said permit is true and correct. 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 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:. 88001531 DATE= 06/13/88 PAGE= 01
APPLICATION
**********)E********************** APPLICATION ******************************
S]:TE STREET= 5021 N EVERGREEN RD PARCEL.; = 34644-•0608
ADDRESS== SPOKANE WA 99216
PERMIT USE= SINGLE WIDE -MOBILE HOME (2,13D - )
PLAT; = 002040 PLAT NAME= PLAT 04 OF WEST FARMS IRRIGATE
BLOCK= LOT= ZONE= AGRI DISTO= G
AREA= 00000000 F/A= F WIDTH= 102 DEPTH= 428 R/W= 60
0 OF BLDGS= 4 0 DWELLINGS= 1
OWNER= MC LAGAN, VIRGIL
STREET= 12211 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 922 2015
CONTACT NAME= OWNER PHONE NUMBER==
BUILDING SETBACKS: FRONT- 100 LEFT= 21 RIGHT= 18 REAR== UNKN
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DEPARTMENT NAME
ENVIRONMENTAL HEALTH
REVIEW INFORMATION
REVIEW COMMENTS
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DATE
IN/OUT INITIALS
NEW OR ADDITIONAL WASTE WATER
880613 1.71
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE=== 1979 FLEETWOOD MODEL=
SERIAL0= WIDTH= 14 LENGTH= 70 HEIGHT= 10
PROCE:SSE:I) BY: WENDEL., GLORIA
PRINTED BY: WENDEL, GLORIA
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