1991, 04-18 Permit App: 91001925 MH SPOKANE COUNTY DEPAaTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHIN ETON 99260
(5091456-n75
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 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/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= 91001925 APPLICATION DATE= 04/18/91 PAGE= 01
**3*' * THIS IS NOT A PERMIT • ****3
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=: 1610 S OBERLIN RD PARCELw= 29541 ..-02
ADDRESS=. SPOKANE: WA 99206
PERMIT USE-~ INSTALL DOUBLE WIDE MANUFACTURED HOUSE
PLATO= ,000382 PLAT NAME= CHESTER HILLS ADD.
BLOCK= 2 l...OT•== 1 ZONE== UI 3.' D:IST»-
AREA= 00000000 F/A r. F WIDTH= DE = . R/W= 60
a: OFBL..DGx}= i :"w DWELLINGS= i WATER DIST =
OWNER= REED, FRANK PHONE= 509 773 3976
STREET= 1610 S OBERLIN RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME::- DAVID BOYCE PHONE NUMBER=. 509 535 88R1
BUILDING SETBACKS : FRONT= 55 LEFT= 120 RIGHT= 20 REAR= ¢30
*3i•3{•**a:*3{•3t**:*****3{•******3f*3{•3{*** REVIEW INFORMATION *****************3{**3{•****4(
DEPARTMENT REVIEW COMMENTS APPROVAL. COMMENTS
. .• . Jam"'
1J-7(
BUILDING SETBACK REVIEW REQUIRED
ENGINEER NEW COUNTY ROAD APPROACH I 9 .�
HEALTHDIST' NEW OR ADDITIONAL... WASTE WATER ��� G�
**..*3{3c**3{•*****3i*********3{•***** MOBILE HOME PE 4MI T 3t;**xik#•3E3k*3{•3• ,.b k3 h.
CONTRACTOR: OWNER PHONE=
YR/MAKE== 1991 VAN DYKE MODEL_-:
SERIAL0= WIDTH=:: 28 LENGTH.: 66 HEIGHT: 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE2 100.00
YSTATE S l.l � 1yyL:E : Y 6.00
1
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 120.50 .00 120.50
120.50 .00 120.50
*•**3i3f•*3F***33*3****•*3i k 34*3E***3k3F*313@*3k3t*3@*3t3{•3@*3@***,*3i*3{-3@3{3{•*3E*3{•3E*3@3F**3*3{•3E3*3**!** r313i3t3i3C-
* PRO,.IE::CT NOTE : TOPIC == CONDITIONS DEPT -: BUILDING �!
}<•3{X**3f***************3****•*3****3i*********3:***4***********3•**•******3***4**3 .i*****
MOBILE HOME: MEETS STANDARDS OF A CLASS A MANUFACTURED HOME
PROCESSED BY : JOHN L..ARSON
PRINTED BY : .JOHN LARSON
****3f3f3t*3t3<*3{•3{•**tit3r•rcai•a•*3b***3@*****•3{• THANK YOU 3t•k•*•3*3i3**ii3i3i*••*3*3i***3{•***3i*343i***3i***
Spokane County
DEPARTMENT.GFBUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: L(52T 1 , O 20 ( 20
STREET ADDRESS: s /��� D,�,o�,(�,
CITY/STATE/ZIP: Jf '
SUBDIVISION: CL H( Its LSC.
BLOCK: i3LOT: 1 ZONE:Z/, „3-5 `DISTRICT: jr-
LOT AREA: -A ll F/A: WIDTH: 2O() DEPTH: (L( R/W: Go
# OF BUILDINGS: 1 # OF DWELLINGS: ! WATER DISTRICT:
OWNER: j-•t/Gl.in k Reed PHONE: 201,1
MAILING ADDRESS: LL 10-1 lA-- A t
CITY/STATE/ZIP: Po -_ ( Ls IAuLlu
CONTACT: YJCA-(ACt C , IJo\7 C e PHONE: ,al -535-- Kcr/
SETBACKS: - FRONT: 55 LEFT: IZO RIGHT: :4V REAR: CO
PERMIT USE: 1 a1r,,,j House /9 r/ e/rgic(
p7.J7,1'to G
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: y` Olo J(' }-61e5 PHONE: SC� - 535- MO
MAILING ADDRESS: Sh ) (J 'pvc G 1,t e- 5/0 (z( ,te Lh4 q92/2
ARCHITECT/ENGINEER: tl PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: ' OCCUPANT LOAD: BUILDING HGT: STORIES: f
BUILDING DIMENSIONS: )'- X ': 6 (WIDTH X DEPTH) SQ. FT. : (7W
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
NNPOKANE
TRUCTURES , INC.
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