1987, 06-02 Permit App: 87001585 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 a 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'construcnon, or as a
warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
.tt..iadr-X..tt..tt.N..) *.*-) 3c*3&-) 3(. 34 rh *:,.)***.).)***.)E.,(.fth
SITE STREET= 206 to MCDONAI._I) RD
ADDRESS= SPOKANE WA 99216
PIiC'..11::.(:I NUMBER
DATE
APPLICATION
PERMIT USE=: DOUBLE WIDE MOBILE HOME
PLAT0=
BLOCK=
AREA=
OF 8L, I)GS:=:
(:lWN1:::Ei::::
5"I'ItI:::1:::T:=:
' ADDRESS=
3@3E3E
3.*.tt. tt.
06/02/87
ri
PARCEL:== 1554 -2214
001583 PLAT NAME= MCDONALD 'TRACTS -
LOT= /8 ZONE= AGSUB
00000000 E/A= F WITH:::. 82
1 t DWELLINGS=
1 '
CCRf CKEf:N, WILLIAM Iii,
707 I::: 37111 AVE 0116
SPOKANE WA 99223
CONTACT NAME:.-- OWNER
BUILDING SETBACKS: FRONT= 35 LEFT== 10 R:I:(:.HT::.: REt-1R::::
Y. 34 #tt do -k 3h 3i. A..tt..tt..tt..k..tt..tt.#
PAGE:::::. 01
DISTO==
DEPTH=150. R/W:= :'.SF)
I:HONEE= 50
C/;.d =1C4S
1 -'HONE.. NUMBER= 5
DEPARTMENT NAME
COUNT( ENGINEER
REVIEW INFORMATION
RI V:LEW COMMENTS
P-IEW COUNTY ROAD APPROACH
ran 41,4eY i7. Q3D'.
-534 7
DATE
F§ I L
IN/OUT INITIALS
.2227"
a-2 iG
M
O EN'V] RONMENTAI... HEAL..rH NEW OR ADDITIONAL.. WASTE WATER.
.S(.3(.3(..x, 36 3l' R .R"4 P:-n-x-3.3:---x-R-**-»9s*** MOBILE HOME PERMIT : P:
CONTRACTOR=:: OWNER
YR/MAKE= 87 LAMPLIGHTER MODEL=
` r..R1..A1...11
-PR0:ESSED
Y: MASCARDIJ: rGODOLFIi'
PE.IibNE::=
870602
33(-33F3F
WIDTFH(== 28 LENGTH=:: 56 HEIGHT- 10
.p;.p}.A..tt..tt..*.)p3(..*.)(..tt..py.k.....)i.....y413*.x_V 3, t: t.p.L P. of 3':a: rt34 THANK YOU .y....3(.df. 41:.
****K* A A 9P k* 3i.*.*.k.0
G(:M
}
3'..u. 3i. 36 3 F .3..3. **..3.
******************************************************************************
* INFORMATION WORKSHEET *
******************************************************** **********************
*
* PARCEL NUMBER: /`5 , 7' iZ Q i T I
d { lc) Val *
*
STREET ADDRESS: 0 (p /Y //'/ c r),, )•7l x
x 1 i./� //
* CITY/STATE/ZIP: SXXi Q y� e_ (P,)a ! v2/p *
* SUBDIVISION: l�' )4, e7,06-j/LCCX *
x `
x
�3
* BLOCK: LOT:hO S- ZONE: L DISTRICT: *
* *
* LOT AREA://39,&M/A: WIDTH: 00 DEPTH: /3{) R/W: *
* # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: V C� *
*
* OWNER:(X//��/;dt f, �C( R/hf,et/V PHONE: - S3 / - 6 I ?r
* MAILING ADDRESS: %7 7 F 3 % 1$ 411 //(G *
* CITY/STATE/ZIP: ctit Like__ 9 9z 7-3 *.
*
* CONTACT: PHONE:
* *
* SETBACKS: - FRONT: 247 LEFT: /4/1 RIGHT: /0/ REAR: 70/ *.
* x
* PERMIT USE: 2t Y 5t r I t€ PU ✓11 f re % 1-10-'1 P tS
*
******************************************************************************
* BUILDING INFORMATION *
* *
* CONTRACTOR LICENSE NUMBER: *
* *
* CONTRACTOR: PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* ARCHITECT/ENGINEER: PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* NEW: REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
* *
* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: *
* *
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: *
******************************************************************************
H
1
—
I '
ps±
el,-
“
I
V
LJ
PioPOSS-(;)
Mos<<.E
�Om�
;�I
A
o
4
r
1
1
I
1
�
—