1987, 10-16 Permit App: 87003494 MH • SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
' SPOKANE,WASHINGTON 99260
(509)456-3675
I that I hined this permitanmatatemmom /nm ation contaid in it and submitteduv 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
PROJECT NUMBER= 87003494 DATE= 10/16/87 PAGE= 01
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 17418 E 6TH AVE PARCELO= 19552-1920
ADDRESS= GREENACRE% WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME-REPLACEMENT
PLATO= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
BLOCK= 4 LOT= 20 ZONE= RMH DI%TO=
AREA= 00000000 F/A= F WIDTH= 65 DEPTH= 142 R/W= 50
� OF BLDGS= 2 41: DWELL.I NGS i
OWNER= BRITTON, ARTHUR E PHONE= 509 226 1139
STREET= 24524 E MORRIS RD
ADDRESS= NEWMAN LAKE WA 99025
CONTACT NAME= OWNER PHONE NUMBER= 509 226 1139
BUILDING SETBACKS : FRONT= 30 LEFT= RIGHT= 6 REAR=
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
--------------- --------------- ------ --------
ENVIRONMENTAL HEALTH NEW OR ADDITIONAL WASTE WATER 871016 GGM
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------------------------------ ------ 7~-~ `
****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 79 EATON PARK MODEL=
%ERIALO= WIDTH= 24 LENGTH= 40 HEIGHT= iO
PROCESSED BY : MASCARDO, GODOLFIN
PRINTED BY : MASCARDO, GODOLFIN
******************************** THANK YOU *********************************
* INFORMATION WORKSHEET *
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* *
* PARCEL NUMBER: lq 5.S- 2- — j ci *
* STREET ADDRESS: i Ilf) J`. - - G ` ' *
*
* CITY/STATE/ZIP: (j11.t-e-.-�+2 c:•,„ iii, ',z 79 Q/ r'` *
*
* SUBDIVISION: ' t ' OCAV 41- 2/ *
x
* BLOCK: 4- LOT: 2 ZONE: 1�'�,+ DISTRICT: *
x
* LOT AREA: F/A: WIDTH: C°N DEPTH: (42,- RN: ? *
*
x
* # OF BUILDINGS: 7i # OF DWELLINGS: ( WATER DISTRICT: *
* x
* OWNER: A-RI- I" C R J-t elf ) Di/ PHONE: - $2.:7- - /L3 *
*
* MAILING ADDRESS: / ,� 7 02 27/ i f 4 f/ S *
* *
* CITY/STATE/ZIP: V E to-11-1 , /-i, j 4 . . c40 '2.6 *
*
* CONTACT: PHONE: - - *
* *
* SETBACKS: - FRONT: LEFT: RIGHT: REAR: *
* *
* PERMIT USE: 7 '( 40 fOO AA 4-1-Oorn VE- ' 7g .)N 4924<- *
******************************************************************************
* BUILDING INFORMATION
* *
* 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: *
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