1987, 04-01 Permit App: 87000819 MH •
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 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.The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF AP APPLICATION `cyy7
OWNER OR AG EN t' s — DATE d
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PROJECT
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DATE= 04/01 /07 PAGE= 01
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SITE I::. ,.i T I'!.It:_:.I::. 1 �: 17414 I::. "Z+ I i"� (•�i�`�.j::. I"'f={I'-�t.:�:.3....�..... 19552-1412
.. ADDRESS:::: GREENACRES WA 99016
PERMIT USE= SINE.;(..;: WIDE MOBILE HOME
tit;i :i080 PLAT APPLE ESTATESi y'.`'l ADD.
PLATO=
BLOCK= - LOT= 12 ZONE= .!.i•1 I"I I:j.j:,> I O.... I:r
AREA— 00000000 F/f•7•:- F WIDTH= Si DEPTH=
.}:. OF -) S_.. DWELLINGS= 1
OWNER= LOSS , I.GE RA'lLD [NF E . 1"'HONE 509 9.22 i 8 5 i
n"31- ;E::E:: { ::" 17414 F 4�1 H 3 AVEADDRESS= rPI..E..f ACREa WA 99016
I::::I:li:jTf,iCt..1. NAME:::: I)Wi'"?ER PHONE NUMBER= 509-922-1851
BUILDING SETBACKS : FRONT= 30 LEFT= 8 RIGHT= 50 REAR= 33
77 1
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DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
C:I::f U N.i.:: is t 11::;:I:i••I F E R i••I E t!1 C.;l ..1NT Y. Iz;1::1 A Xi A I"'i::'1:;;0 r i i:'I"i
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ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE WATER f_f (0401 IG-MI�}G 1 71J ry
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CONTRACTOR- OWNER PHONE=
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YR/MAKE= NODE.I...::::
`'iI:::R 7:AL..,I:-:: WIDTH= 14 LENGTH= 56 HEIGHT= 10
PROCESSED ;t'Y : WENDEI...: GLORIA
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___„ _-
SPOKANE COUNTY DEPARTMEN776rBUILDING AND SAFETY tZ.:4.5,k'r
_ NORTH 811 JEFFERSON .
SPOKANE,WASHINGTON 99260
,. , ,, (509)456-3675 ]
,ihat 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
.' ',)C. In addition, I have read and understand the NOTICE provisions included herein and agree to comply with same.All provisions of laws and
. .. 4nces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority
iiolate or cancel the provisions of any state or local law regulating construction or the performance of construction.
;IGNATURE OF APPLICATION
rnuJcC ' NUMBER= 870008i9
PAGE= O�
DATE= 04/01 /87
*
'******************************* APPLICATION ***************************** \ .
PARCELt= 19552-1412
SITE STREET= 17414 E 4TH AVE
ADDRESS= GREENACRES WA 99816
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT�= 000080 PLAT NAME= APPLE VALLEY
MESTATES
%iET ADD. G
12 ZONE= RMH :� . �-
' ^~ ' ' LOT= '' - ijp R/W= 50
BLOCK= 3 -- 81 DEPTH=
AREA= 00000000 F/A= F WIDTH= ' � .
4 OF BLDG%= i 4- DWELLINGS= i
PHONE= 509 922 1851
OWNER= LOSS , GERALDINE E.
STREET= 17414 E 4TH AVE
ADDRESS= GREENACRES WA 99016
PHONE NUMBER= 509-922-1851
CONTACT NAME= OWNER 30 LEFT= 8
RIGH 50 REAR= 33
UILDING SETBACKS : FRONT= ***********************
***** REVIEW INFORMATION ***
************************ DATE
' IN/OUT INITIALS
)EPARTMENT NAME REVIEW COMMENTS
870401 GMW
'- ---- NEW COUNTY ROAD APPROACH
`OUNTY EN�INEER
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ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE WATER 870401 GMW( ^ / / y�� ^ -
- -� '
****** *�******�
****************************** MOBILE HOME PERMIT **********
PHONE=
CONTRACTOR= OWNER
YR/MAKE= MODEL= 14 LENGTH= 56 HEIGHT= 10
CERIAL�= WIDTH=
PROCESSED BY : WENDEL, GLORIA ******************************
******************************** THANK YOU *********************************
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