1982, 12-03 Permit: 2163 MHPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
L st 1R1RR Gra¢
LOT J ELOCK I SUBDIVISION
2. Z 3 I V.Wee-V LEU -3 V%4tI3 LLE
OWNER
3 Cecil J. & Frances S. Skiles
MAILING ADDRESS
E.18618 Grace - Otis Orchards, `la.
PARCEL NO.
07551-0502-3
LEGAL DESCRIPTION:
I-,Dyvte Ac iii T. ora:
PHONE
PHONE
ZIP
99027
4.
CONTRACTOR
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to:
North 'Up. !South 56East ZZs l West (� 1
Residential l7
Commercial ❑
Size of Parcel
%Ooxto
11 Zone Classification
are \lk
ADDRESS
ZIP
Type Const Occupancy
=NJ rl-3
Spr nklered
❑Yee DNo CReq'd.
5.
DESIGNER
PHONE
pew Const. Valuation
2.),000
Remodeled Valuation
TotpdBltlg floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv Deck
nt Fin. Basement
TYPE (X NEW D ALT. 0 AD' N. 0 RPL.
7. OF BLD. D PLMB. 0 MECH. EXM.H.
WORK
O MVE.
❑ POOL
0 OTHER
N0. Baths
No. Floors
No. Fin. Rooms
nfin. BasemeNo
Corti( i. of Exempt.
cc Variance
Required Vest: No
Received VesO NoD
Number
9.
DESCRIBE WORK
Mobile Home
VALUATION
SOURCE
OF
UTILITIES
28 X 70 (Box Size 28x66)
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Ram Required 0
Received 0 N
GAS
ELECTRIC
PUBLIC Rsd'
PRIVATE 0
SEWAGE
SEPTIC Br
SEWER 0
Ownership /
Public 0 Private L9'
I hereby certify that I have read and examined this appl cation and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE
OWNER OR AGENTRtk REVERSE SIDE ffit'a/R RINSPECTIONS
r/'l BRED INSPECTI DATE / a — —
SIGNATURE OF APPLICATION
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
,Fire
Prevent
Engineer
Utilities
SEPA
M,f,,
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Northwest Mobile Homes,Inc. 535-2909
Rens
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
100.00
TOTAL 00.00
PERMIT NUMBER
01* *10000
*100006
A *000 8
1706
12-07-,82
6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
PERMIT NO. TOTAL
r11 . L.IvP 1 Rail/ rLnivll 1
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456.3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
r ct 1Rfi1RR Gra,
LOT BLOCK I SUBDIVISION
2. 3 I R1k/eZVkeW
PARCEL NO.
07551-0502-3
MOB u.e I -\sone
iao 0 'D o/a:
OWNER
3. Cecil J. & Frances S. Skiles
MAILING ADDRESS
E.18618 Grace - Otis
PHONE
PHONE
LEGAL DESCRIPTION:
Orchards, 11
ZIP
99027
4.
CONTRACTOR
LICENSE EXPIRES
PHONE
Actual Set Backs In Feet to:
North 2.(y' I South 56 [East 'at: I West 1�
ResidentlaltE
Commercial 0
Size of Parcel
)00X10
Zone Classification
r2fllt
ADDRESS
ZIP
Type Cansl. Occupancy
Spr nklered
❑Yes ONo CReq'd.
5:
DESIGNER
PHONE
itIJew Const. Valuation
p
Ramede ed Valuation
Tota4l4.600r Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
.Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Dock
Uncv. Deck/
-Fin. Basement
Unf in. Basement
TYPE ($ NEW 0 ALT. 0 AD' N.
7. OF
WORK 0 BLD. 0 PLMB. 0 MECH.
0 RPL. 0 MVE.
IXM.H. 0 POOL 0 OTHER
No. Baths
No. Floors"
No. Fln. Rooms
No. Dwellings
Certlll. of Exempt.
cc Variance
i
Required YesO No
Received Ys❑ No0
Number
8.
9.
DESCRIBE WORK
Mobile Home
VALUATION
SOURCE
OF
UTILITIES
28 X 70
(Box Size 28x66)
/ Shorelines/Flood Hazard
YsD Not Appnc 0
Plans Required 0
Received ❑ N
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAGE/
SEPTIC
/SEWER 0
Ownership /
Public 0 Private L
I hereby certify that I have read and examined this appl'cation and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. ALI,provisions of laws and ordinances governing this type of
work will be complied with whether specified herein o/not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF r/)4--191-Ate--e-41-77:A.
�v �I �Q Q jc (� _ ) APPLICATION
OWNER OR AGENT r{�/W� I "�'"� ��Cl J �-t�Y` �l—Cl/ DATE ('� - � —
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE// Northwest Mobile Homes,Inc. 535-2909
/
Env. Health
Planning
Fire
Prevent.
Engineer
Ulllrties
SEPA
Plans
Exam .
' Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
100.00
TOTAL 8100.00
PERMIT NUMBER
07* *100.00
* 1 0000
A *nOO
170bE
12-07-82
611;9.
xied jlu1a
Ao� I
o
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
TOTAL