1987, 09-04 Permit App: 87002906 MHSPOKANE -COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit and state that the information contained in ft and submitted by me o'r 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 tate 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= 87002906 DATE= 09/04/87 PAGE= 01
********************************* APPLICATION ******************************
SITE STREET= 17209 E 5TH AVE
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT) (- - &&roan)
PARCEL:= 19552-1611
PLATO= OObO7O PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
BLOCK= 1 'LOT== 11 `ZONE= RMH DIST; = G
AREA= .00000000 F/A= F WIDTH= 71 DEPTH= 125 R/W= 50
4 OF BLDGS= 1 4 DWELLINGS= 1
OWNER= DOYLE, FRODNEY E
STREET= 17209 E STH AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 6097
CONTACT NAME== OWNER PHONE NUMBER= 509-926-6097
BUILDING SETBACKS: FRONT= 25 LEFT= RIGHT=: REAR=
****************************** REVIEW INFORMATION *************#************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE WATE' 870904 GGM
t;
****************************** MOBILE,HOME PERMIT **************************
CONTRACTOR= OWNER
YR/MAKE= 79 BUDDY
SERIAL4=
ITEM DESCRIPTION
PHONE=
MODEL==
WIDTH= 24 LENGTH= 60 HEIGHT= 10
INSPECTION FEE
BUILDING SURCHARGE
QUANTITY FEE AMOUNT
Y
1
50.00
3.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 53 - .00 53.50
53 .v .00 0
PROCESSED BY: MASCARDO, GODOLFIN
******************************** THANK YOU *********************************
0
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