1990, 08-15 Permit App: 90003964 MH_ I D
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -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 REOUIREMENTS/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= 90003964
3f3fi***3f 3f i•3c**er****tt•x***ac******* APPLICATION
SITE STREET=
ADDRESS::::
PERMIT USE=
PLATO=
BLOCK=
AREA=::
1 OF BL_DGS=
OWNER=
STREET=
ADDRESS=
CONTACT NAME=
BUILDING; SETBACK
DATE-:: 00/15/90 PACE= tai
APPLICATION
*****************************a**
1403 N (:;RAI)Y RD PARCEL,=:: 17552-0508
2-0508
GREENACRES WA 990167
DOUBLE WIDE MOBILE HOME -- REPLACEMENT -- PTT SET
003167 PLAT NAME= MISSION VILI...A ADD
i LOT= 8 ZONE= RMH D.T. STI=
F/A= F .WIDTH= 78 DEPTH= 156
0DWELLINGS= i
B:[NGAMAN RALPH & MYRA
1403 N GRADY RD
GREE.NACRE.S WA 990167
RALPH FSINGAMAN
S: FRONT= NA LEFT= 10 RIGHT= 10 REAR= 2i
PHONE= 509 924 4896
PHONE NUMBER=: 509 924 4896
*3fi3f'}fi'***3t'*3{'if*i1*9*1*iri*rc#ii'ii*i*#i'* REVIEW INFORMATION i*i•ifii3f3t'****3*'ifi3f3t'ifi*i3'*if**4***
DEPARTMENT
BUILDING;
REVIEW COMMENTS
SETBACK REVIEW REQUIRED
HEAL..THDIST NEW OR ADDITIONAL. WASTE WATER
3f3fif44*3*3t'*3f3f3f3{'3f 33.3* i•i*3fi•3t•i•3t•3fi•.i :*.*:**3f
APPROVAL COMMENTS
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MOBILE HOME PERMIT if>:#3fi•3f3f3t3f#3e#3f3fi3fif3f
CONTRACTOR= OWNER
YR/MAKE= 1990 FLEETWOOD MODEL.::::
SE:
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 2? / 47/0 3 CRAG alr
CITY/STATE/ZIP: (-4 /Z F P pi G ('_2 e S l u/4 c/ ,o/6
SUBDIVISION: /eh ; S Sion V j' q 1 ct, A7S<./_
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ' /pA F. l�i n� PHONE: 5'� - yLy-
PO 2a L• B ; r-,5 G »-• G n
MAILING ADDRESS: j' i 5 en-- )/ 5 t L_e >, wC Y
CITY/STATE/ZIP: y1 -e Q r, 4 Cu, rS (--A-1/4 / / U/6
CONTACT:
PHONE: -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION'
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: Z S- X - ". (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP:_ SPRINKLERED: CRITICAL MATERIAL:
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