1990, 01-16 Permit App: 90000184 MH SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROA15WAY-AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information'containe8`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
PRIJJEt.: i NUmBER- 9000014 DATE= 01 /1A/90 RAG,F= 0i
APPLICATION
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PERMITI = 190•24 SPRAGUE AVF A F.1 '7
ADDRESS= GRFENACRES WA 99016
USE= .r :t1 . SINGLE L=.;.i.i.. ... ;:ij?_ iil.iB ..E WIDE MOBILE HOME
J.:t...t..? I .,}..... 000498 PLAT NAME= t..:t.S l":B I N ADD D 1"•.i:.{::.I H({i...•.''.:1::.,..
AREA= 00000007, F/A= A WIDTH= 1A5 DEPTH= 600 R/W=
OWNER= CUMBER, jAMES PHONE= 509 922 4895
STREET= 18603 F BRIDGEPORT AVE
ADDRESS= SPOKANE WA 99216
LuNiAci NAME= jAMES CUMBER PHONE NUMBFR— :7,09 922 4895
BUILDING F. i ,.:j:;l..:{C.:: i•'t,'i i(s i :... ..... ....... :.I"' _. •..3. . RIGHT= I...`,S. . REAR= .1:'...;.I.,..
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DATE
ti;..}.:?..;P ,:!•.I`+ ! NAME REVIEW COMMENTS TN/OUT INITIALS
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SERTAL4= WIDTH= 28 LENGTH,, 56 HEIGHT,, 00
PRnfli:7 ::,TD BY - JULIE SHATTO
PkiNfLD 6f : JULIE SHArio
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Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
l INFORMATIONWORKSHEET
PARCEL NUMBER: oC Q 55 p9 -- 0 1 cR I
STREET ADDRESS: /90 ,;,2e7/ (-4:- �4_ ,�Gc-2
CITY/STATE/ZIP: sd _ 6,c4-1Q , 7 9
SUBDIVISION: (f , ./GG' RVA-ei-j.--,C2-e_irgoe.e.---1,'
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: 2,--)- PHONE: _501 q— baa -_ `5.
MAILING ADDRESS: / 7Q 7 �4-e ,
CITY/STATE/ZIP: 4/42-�,.,,fzc_e.�- e.cJ0...14
Q
CONTACT: i()
PHONE: - -
SETBACKS: - FRONT: 42/0 "LEFT: / ' RIGHT /0,15:2=k-R7:----/-/S-6, //-
<
/ REAR: Sa
PERMIT USE: _.�.-Y_" (_fit- �11Z �C.�'Z__. . / l �-2_JC C �0(1-(. 1
*lear***+************************* ***********s;`********************** j, ' 4
BUILDING INFORMATION c/t_/ Lr�l
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:
... .
87 07:43 I D:HEALTH SPO . TEL NO:509-456-4715 #271 P01
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