1987, 07-16 Permit App: 87002204 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. 1 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= 87002204.:
*3e*#3e**3e3e3i3e3 3**3E
#.1F3..*.IF3ex-x*#***3** 3*3e
APPLICATION
1
DATF:: •07/ 1A/R7 Fa.I- - 01
*.fi..k..*3..tt..tt..*3F#3F*x*3ex*3e#**3E33F
SITE STREET= 1404 N GRADY RD PARCEL4:= 17551--0608
ADDRESS= GREENACRES WA 99016
PERMIT USE= SINfA..E •W:LDE MOBILE HOME—REPLACEMENT
PLATS= 003502 FLAT NAME= MISSION VISTA
BLOCK= LOT= 8 ZONE= RMH DISTO= G
AREA= 00000000 F/AF F WIDTH= .78 DEPTH= 138 R/I4==
OF HI_D(.,5= 1 :v DWELLINGS= 1
OWNER_ STEWART, BERNARD J
STREET= 11920 E MANSFIELD AVE
'ADDRESS= SPOKANE WA 99206
PHONE= 509 926 3814
CONTACT NAME= OWNER PHONE: NUMBER= 509--92
BUILDING SETBACKS: FRONT= 47 LEFT-: 40 RIGHT= 22 REAR= 25
*3e*****3e**3t-****3e************** REVIEW INFORMATION
***********N ***.)(..h..**ii.3i..%.A..h..**
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
ENVIRONMENTAL. HEALTH NEW Ole ADT"IO a WASTE WATER 870716
**ee*********3f•3(**3r*3e.*.tt..x.3t..******* mo-BILE.HOME PERMIT*.*.#.****.**..*3i3<3Ex3t3<3t'3r'**5t****'3e .
CONTRACTOR= 'OWNER
PHONE=
YR/MAKE=-'69 COMMODORE MODEL
S1ERIAL.0== WIDTH= 12. LEN'f.1::= 65, HEI:(;H
PROCESSED LY: MAS'CARDO• GODOLFIN
r7
**x-****3e3t****it***3t'********..***.*-)e*. THANK YOU *3)4333E*****-X-**#34***34.**..*..*-)C-* 43(-*..***
* INFORMATION WORKSHEET
******************************************************************************
* 1t
* PARCEL NUMBER: I l 5c Z-- 0 o U
*
* STREET ADDRESS:
CITY/STATE/ZIP:
N Itiot CR ay p
ne( tom. ! i0<<a
SUBDIVISION: M5Sl0fJ VI T».
BLOCK: 2- LOT: 8 ZONE: P41-1 DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP:
PHONE: lx2g-11L- 3qr y
ff(/te l/
•
,4t - ®CP
CONTACT:
SETBACKS: — FRONT:
*
* PERMIT USE:
*
*********
*
LEFT:
PHONE:-q2b- 3D i y
RIGHT: REAR:
%///J �D /9 ( Z X co C
trL�Q 7iy{�2 6,commop&LE
*
********************************************************************
* CONTRACTOR LICENSE NUMBER:
*
* CONTRACTOR:
*
* MAILING ADDRESS:
*
* ARCHITECT/ENGINEER:
*
* MAILING ADDRESS:
*
*
* DWELL UNITS:
*
* BUILDING DIMENSIONS:
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
******************************************************************************
BUILDING INFORMATION
*
*
PHONE: — —
*
PHONE: — —
*
*
NEW: REMODEL: ADDITION: CHANGE OF USE: *
OCCUPANT'LOAD: BUILDING HGT: STORIES: *
*
X (WIDTH X DEPTH) SQ. FT.: *
CMKO. BY..
DATE
JOB NO.
010811- ffavvi
PEraaaErY1 bpsI
CSPn'i1°6617orj
fr 9L 1
as'
l�kF�
22.
P � 2 (o.
Gil RAGE
AREA
(FdrtR0
6
r `Cf,_ -7T T i Cf: L
CooPER
!Lir) 4 N.
-4-z -RAD y 9 L0,476
E AJYRAFJCC