1987, 03-16 Permit App: 87000607 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 provi ions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF APPLICATIONrf
OWNER OR AGENT DATE l
PRO.IFI:T CJI IMR Ire:= 7r:'}t"r 'iA(j 7
DATE= 0:3/16/87 PAGE= 01
*ii•*****x x*********************** APPLICATION *** •****li***x•*****************
PARCEL NUMBER= 19552-1809
SITE ST i T I •7:' $cc F �,'T H t�•�E
AI)DP 5r:: i7RE:.F..:��IACRE:.'S LJA 99016
PERMIT USE- DOUBLE WIDE MOBILE HOME
PLATO= 000078 PLAT NAME-- APPLE VALLEY ESTATE:: 2ND ADDDIA
R :AFP 00080000 F' i�ta.L� t 1IM: `S PBTH= 02 F2/W= } y
0 OF )3t..DGS:.: I 0 DWELLINGS= 1
OWNER= LEHMAN., JOHN & KIM PHONE= 509 466 6884
STREET= 17315 E 6TH AVE
ADDRESS= i';REE::NACRES WA 99016
CONTACT NAME= OWNER PHONE NUMBE:R= 509-466••-6884
t:BU1:I...I)ING SETBACKS : FRONT= 30 LEFT= 55 RIGHT= 15 REAR= 27
****************************** REVIEW INFORMATION ********************** •***
DEPARTMENT NAME REVIEW COMMENTS I8,ShT INITIALS
C UNTY ENGINEER NEW COU TY F AD APPROACH 10316 c;GM
(�f' .ham c-c.0 .�nJ — X754 GC iao ( l .J
757,
ENVIRONMENTAL. HEALTH NEW OR ADDITIONAL_ WASTE. WATER 70316 GGM (I�
********a*****ye******x******** MOBILE HOME PERMIT ****** ******************•x
CONTRACTOR= PHONE=:
STREET=
ADDRESS=
YR/MAKE== MODEL.
SERIAL_ :W: WIDTH= LENGTH= HEIGHT=
****************************** END OF REPORT *******************************
*************************************************************************
* • INFORMATION WORKSHEET
*************************************************************************
*
*
* PARCEL NUMBER: t g SC 2 -(0O
*
* STREET ADDRESS: E • 1"7 3 S Si len* A-v€
* ;CITY/STATE/ZIP: 6(2..exriiGR L,V A- . e9 U t b
*t: SUBDIVISION: Pr PPLF 04.1_,„-Le Z'
BLOCK: 3 LOT: ZONE: PO DISTRICT:
?:At
* LOT AREA: F/A: WIDTH: 1 5 DEPTH: 0Z f f R/W:3-0
* I # OF BUILDINGS: # OF DWELLINGS:
* OWNER: ZO�1-I1�l ANO 1M LSAMAk) PHONE: W1 -466 -688LI"
*
* MAILING ADDRESS: e ► i 315 SKI" Poi
*\ CITY/STATE/ZIP: 6 R �A-�iZ sl w Igo lto
CONTACT: PHONE: - -
* SETBACKS - FRONT: 30 LEFT:55 6 RIGHT: VS/0 REAR: 27 6
* PERMIT USE: I X 44 M061 tC m S *
* *
*************************************************************************
* 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: # HANDICAP: SEWER: (Y/N) : HYDRANT: *
*************************************************************************
*************4*******aka`r******-***************44***r* (i4*44.t************ K#f� #. r *
* NG!ILE 1-CNE INFCRNATICN � *
* CCNTR LICK : *
*
* CONTRACTOR: PNCNE :____-____-
* MAILING ACCRESS :
*
* PREVIOLS ADDRESS :
* *
* LOCATION : PARCEL NLNEER :
*
STREET : tom; � lit e4\ c-
* CITY/STATE/ZIP :_ t`N Us--t
* MAKE : f g PCZPC- NC0EL :
*
SEP IAL k : t+ IDTF: _ LENGTF : 7__
y �t .I ./ ./ .�l �t y.y,y,.Ir.y y�{, y y./,y y y�} y y.a y y y y y y y y y y y y y y y W y.A y y .y.y
4******11 f 4 1 4 4 4 4* 4 4 4 1 4#4 4***T T T********T**Y*****T*T*Y T*T**T***X *TTT* '***T*T*T*
* RELCCATICN INFCRNATICN
• CONTR L IC
* Y
* CONTRACTOR : FFCNE:--_--_-- _--- '�
*
* MAILING AJCREcS :
* T
* PREV IOUS ALDPESS : _
* ,
* LLC,AT ICN : PARCEL NUNBER:
* S 1 R E E T : ------- -------- — -- '�
*
* CITY/STATE/ZIP :
* y+ J i j / J ♦ ++y y y y y y y y y yy yy J y y �L yy 1 / y y yy*
***Y***Y 4*** 9 4 4 4* 4 4 4 4****T*TT*TT*T***T T***********TTT***T****Y*********TT*T*T1`
* SIGN INFCRNATICN
* CONTR LICA :__
* *
* -CONTRACTOR : FI-CNE:____- __
*
* MAILING ADDRESS : *
*
* SCUARE FOOTAGE:_______ POLE FEIGHT :___
* *
******************************************************************************
* OEMCLIIICN INFCRNATICN
* CONTR LIC#:_
* CONTRACTOR __-- —___--- _ _ FIiCNE: —_ *
* *
* MAILING ADDRESS : *
* *
*
BUILDING SQUARE FOCTAGE :
* *
* NUMBER CF BUILDINGS :— ___— *
*******************************************-***********************************
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