1988, 07-05 Permit App: 88001824 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify. that 1 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
Cr4
OWNER OR AGENT
HATE
P.)1.)
PROJECT NUMBER= 88001324
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SITE:.i 7 1'•. 1... f... # '-" 11210 L.. i i"t .}. ''-. V .1. (... !: ! i..i 4 t...
ADDRESS= SPOKANE !:{A 99206
PERMIT
I„iS1.;::::: DOUBLE WIDE MOBILE HOME
ME
PARCEL
.77..... 09542-0712
PLATO= 004005 (" t... !••t i NAME= ,::•E.......J:.J
BLOCK= LOT= DIET4= i:..
AREA=00000000 F :._ .. WIDTH= 152 DEPTH=
•!}• OF I;j, i)l:rS.... 1 •!t• DWELLINGS= 1
OWNER= ST i.`.i1"';Ki::.Y } ir,(.I.1...1...1.i?••iM I::.
STREET= 11210 I::. FAIRVIEW t••i '=i I::.
ADDRESS= SPOKANE WA 99206
CONTACT
F•Li Ngr1.WILLIAM •; R,
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BUILDING SETBACKS: FRONT= 28 LEFT= 27 RIGHT= 65 REAR= 84
PHONE= 509 926 1404
PHONE E NI_il`#Bi:::l? = 509 .26 1404
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}.r .::. I",..i l . 1 , i (... f'•. ( NAME REVIEW COMMENTS
COUNTY I.il::.I::.i"t' NEW COUNTY ROAD APPROACH
e2-3 brr
ENVIRONMENTAL HEALTH C .1... OR ADDITIONAL WASTE
880705
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L , i }. }j1 } 1 i !ij:j:.?1 MOBILE i : i : pERMIT 1 : L L :: :: i(1
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::..:1;::;:iCONTRACTOR= OWNER
I C:'8 FLEETWOOD MODEL= MOBILE CORRAL
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WIDTH= . 8 L. i':1 i t 11 :::: 60 HEIGHT= 1 0
PHuvVSSED BY: SILVA, DAVID
PRINTED BY: SILVA, DAVID
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INFORMATION WORKSHEET
PARCEL r4 MBER: 9� 1 --) 7/ c,2
STREET ADDRESS: £ / / t.>2/0 FP/R
CITY/STATE/ZIP: Sfc),AiE teji 97.0 (-D
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: ,L W1/ 4J
OWNER: 1,C/ / i L. l /) /VI S.7 -,q P- J �. PHONE: - /14 2/
MAILING ADDRESS: k--/ / (C7 /�} /,C i''IA
CITY/STATE/ZIP: si'x E
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: 10 4) cvaU q// 03 /< (4i
******************************************************************************
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: