1987, 10-12 Permit App: 87003440 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
, SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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= 87003440 DATE= 10/12/87 PAGE= 01
APPLICATION
**********•*********************** APPLICATION *****##•***********************
SITE STREET= 1502 N GRADY RD PARCELO= 17552--0604
ADDRESS= GREENACRES WA 99016 -
PERMIT USE= SINGLE WIDE MOBILE HOME—REPLACEMENT,
PLAT:= 003502 PLAT NAME= MISSION -VISTA
BLOCK= 2 LOT= 4 ZONE= RMH DISTt= G
AREA= 00000000 F/A= F 'WIDTH= 78 DEPTH= 138 R/W= 50
0 OF BLDG'S= 1 0 DWELLINGS= 1
OWNER= JONES, TERRY
STREET= 1502 N GRADY RD
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 2719,
CONTACT NAME= OWNER PHONE NUMBER= 509 926 2719
BUILDING SETBACKS: FRONT=
30 LEFT= RIGHT= 8 REAR=
******************************
DEPARTMENT NAME
ENVIRONMENTAL HEALTH
REVIEW INFORMATION
REVIEW COMMENTS
INCREASE IN LO S PaOVERAGE
**************************
DATE
IN/OUT INITIALS
87101201
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE= .
YR/MAKE= 78 GIBRALTAR MODEL=
SERIAL:= WIDTH= 14 LENGTH= 66 HEIGHT=.10
PROCESSED BY: MASCARDO, GODOLFIN
PRINTED FY: MASCARDO, GODOLFIN
THANK YOLJ
****,i+exxxxxxx******xxxxxxxxxxxxxx**********xxxx**xxxxxx*****xxxxxxxxxxx
;---- INFORMATION WORKSHEET
***********************************i********************x***xxxx*******x*
*
* PARCEL NUMBER: I •�`� a
*
* STREET ADDRESS: N 1.S 6 Z C m_O i
*
* CITY/STATE/ZIP:
*
* SUBDIVISION: r t sa c iJ i l s ts-00-
*
* BLOCK: Z LOT: 4 ZONE: DISTRICT: '
* LOT AREA: F/A: WIDTH: —%�J/� DEPTH: 138 R/W: fl)
*
* # OF BUILDINGS: # OF DWELLINGS:
* / OWNER: j f,ey .bgo �vs: PHONE: -,0--,77,y
*
U(s b <--f
*/ MAILING ADDRESS:
ti/50..? r,e.,g7
CITY/STATE/ZIP: CLewivR-x,n,
/A243/2 'QQa/A
CONTACT: 7.21&, /y �;,J
SETBACKS - /FRONT: 30i LEFT: RIGHT: REAR:
PERMIT USE:
PHONE: ,Sdy -gt-,7n,9j
****************************x**********************xxxx**xxxx************
* BUILDING INFORMATION
*
*
* CONTRACTOR LICENSE NO.:
* CONTRACTOR: PHONE: -
* MAILING ADDRESS:
*
* ARCHITECT/ENGINEER: PHONE: - -
*
* MAILING ADDRESS:
*
* NEW: REMODEL: ADDITION: CHANGE OF USE:
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
x
* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.
*
*REQUIRED PARKING: # HANDICAP:
SEWER:(Y/N): HYDRANT:
*
x
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