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1987, 10-05 Permit App: 87003337 MH
* INFORMATION WORKSHEET ************************************************************************* * * 11553 480i * PARCEL NUMBER: * * l . A t (1J�- * * STREET ADDRESS: a /S Sf U V � * * CITY/STATE/ZIP: ia-p e.ctc..el 99 G/ (n * * SUBDIVISION: Stu--r 14 12.&J' 5 MOB ILE PARK * BLOCK: Z- LOT: -7 ZONE: RAJ(4- DISTRICT: * * LOT AREA: F/A: (% WIDTH: DEPTH: R/W: * * * # OF BUILDINGS: # OF DWELLINGS: * OWNER: 5eay-\ c!cl - (ra c' ,\ WC`;k -J PHONE- - * MAILING ADDRESS: N ( He -✓v,Qn Co(1 * CITY/STATE/ZIP: �--r C� Gj 9'0 * CONTACT: PHONE: - - * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * * PERMIT USE: l ) c,Fit— (Of DF * * * ************************************************************************* * 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: * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. * * *REGUIRED PARKING: f HANDICAP: SEWER: (YIN) : HYDRANT: * ************************************************************************* , _a. ********************************v***4*w*$#***4 ******Y*****#******v** * NG1ILE FCNE INFCRNATICN * * CONTR L I C K : * * CONTRACTOR : PHCNE :____-____- # * * * MAILING ACCRESS : * PREVICLS ADDRESS : - - * * LOCATION : PARCEL NLNEER : * * STREET : * x: * CITY/STATE/ZIP :_ * MAKE : I � (L[-C-TWCCD t'CDEL : _ x * SEPIALA : V, IDTF : 2$ LENGTF : 3 4****Y*yy 1 T * 44 4 4 *1***4******y********y**y y*******y****t T*y y**T y*W ****y* * * RELCCATICN INFCRNATICN * CONTR LICf : * CONTRACTOR : __-- FFCNE:---_-_--- * * MAILING AJCRESS : * T * PREVIOUS ACDRESS : _ * * LCCATICN : PARCEL NUNEER : * STREET : ------ ------- * * * CITY/STATE/ZIP : *y I yy y { y y / y y y y y y +y y y y y y* 4***** **1 Y*4 41 4 4* ♦ 4 4************************* ****************�***************** * SIGN INFCRNATICN * * CONTR LIC4 :__ * * * CONTRACTOR : -___--- FFCNE:____- - * * . * * MAILING ADDRESS : * * * SQUARE FOOTAGE:____N_ POLE FEIGHT :___ * # ***************#****#**** ****#***********************************#*********** * DEMCLITICN INFCRNATICN * * CONTR LICk: * * CONTRACTOR : FFCNE:__- __ * * MAILING ADDRESS : _ * * * * BU ILC IPG SCUARE FOCTACE ; * 4 NUNBER CF BUILDINGS : * *********************** ***** ************************#******************#****** . ,.-"••., 4.-"i1=4:,r.k. .1,43"."............C:44,2-4 ,: „ .,‘,,,' 7, 0,r5 1 •;, '4;It,'' '' 44. • % •., '44 ,.'," ,,--.7.....,,,....., I....4-m 4,7 4, .1444-34-4. ,. 4 4 4 Tr. -.1•" . • „ . .. :Lir 4,.•.44. . 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A • t • I L'-177 I I r) I ---- SPOKANE 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 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 ;,._,!..?...�,.,,?..,,..i{.,._,,!..;;..!{::+±r.r:!t.•;`:_`::;..;!.:a:".•!:.:!.-.:}..'; Fi••ji;;:{; }.:p-"iE?• ?i i. .. .., ....�.{..:.. ,. ..+I.i ..'9!:a:_!:::.':_`::..!,..:!,.r}•.�,..F,.;,:'F!i:. .. .. .. .. .. .. .. .... .. .. .. PARCELO- 17'.5:'53-2807 .. ....:.. . ....T ' g X`�f/ 3 I3 / vr► ... , ;.. , . i::.:... ;;± L..... ....is ... MOI.:-II i.. PLAT4= 002442 :;r:= ii:: i:::::.r M;..!: .. ETREET= 21 N HARMONY RD CONTACT NAME= ETEVEN WART) ... .... ... ....... REAR= REVIEW UUNMENiS ...... ....... .... .. ...... • , ,,,,h,, a_i 6trrit"-"L5 . ._ 4 .e...,. n:'INTRAnTOR= OWNER ... . ..... ..... WIDTH= 28 LENTH= 48 HEIGHT= 10 is i' 1.....,....; ..........