1989, 05-19 Permit App: 89001373 MH 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 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 hereiu agree to comply withvmnam/provisionsm/o*o
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 nATs
PROJECT NUMBER= 8901373 DATE= 05/19/89 PAGE= Oi
APPLICATION
******* *********************** * APPLICATION ******************************
%ITE STREET= 19308 E SPRAGUE AVE PARCELO= 20552-0i20
ADDRESS= GREENACRE% WA 99016
PERMIT USE- %INGLE WIDE MOBILE HOME
PLAT4= 000498 PLAT NAME= CORBIN ADD TO GREENACRE%
BLOCK= LOT= ZONE= AGRI DI%T4=
AREA= F/A= F WIDTH= 125 DEPTH= 220 R/W= 60
4 OF BLDG%= i 4 DWELLINGS= i
OWNER= PALANIUK , DANA K PHONE= 509 922 1467
STREET= 19308 E SPRAGUE AVE
ADDRESS= GREENACRE% WA 99016
II
CONTACT NAME= OWNER ep ""sE NUMBE
BUILDING %ETBACK% : FRONT= EFT= L�� / RI�HT= ��� REAR=
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****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
--------------- --------------- ------ --------
BUILDING & SAFETY SETBACK REVIEW REQUIRED 890519 GMW
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��� COUNTY ENGINEER NEW COUNTY ROAD APPROACH 890519 GMW
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( �� ENVIRONMENTAL HEALTH NE R ADDITIONAL WASTE WATER 89O5i9 �
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� COUNTY PLANNIN� TI DWELLING 89O5i9 �MW
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****************************** MOB1LE�HOME �ERMIT **********�****�**********
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1989 ARDMORE MODEL=
%ERIAL4= WIDTH= 14 LENGTH= 66 HEIGHT= iO
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: 2C) 5 /t-
STREET ADDRESS: / /, 2 ( .-' 0 U
CITY/STATE/ZIP: 47-W0A6V7VeS G q*/�
SUBDIVISION: e6E6/00 / 1- 3D /VO 7Z) 6jP ''acveS
BLOCK: LOT: ZONE: 4=7/2/ DISTRICT:
LOT AREA: F/A: WIDTH: /X5-DEPTH:: R/W:
4 OF BUILDINGS: 4 # OF DWELLINGS: / WATER DISTRICT: d6/?50%1cr4f. eie,
OWNER: 1C4Gla - 91 /Cimuk PHONE: -
MAILING ADDRESS: / 13 t ral vJ
CITY/STATE/ZIP: 4peeA 4(7; PS jC/� 50/x"
CONTACT: PHONE:
SETBACKS: - FRONT: (01 LEFT: 5 RIGHT4E REAR1 +
PERMIT USE: )I V GLE Ki6 ARNLittE It/yeah
****************************************************************************
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: 4 HANDICAP: SEWER (Y/N) : HYDRANT:
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