1988, 03-10 Permit App: 88000454 MH /
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. 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 g / this type of work will be complied with whether specifiedh / not.I understand that the issuance of this permit and any subsequent ict/v"
approvals or Certificates of Occupanshall 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= 88000454 DATE= 03/10/88 PAGE= Oi
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= 7203 E 9TH %T PARCELO= 24534-0217PTN
ADDRESS= SPOKANE WA 99212
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PERMIT USE= INSTALL 2/W MOBILE HOME
PLATt= O02955 PLAT NAME= WOODLAWN PARK
BLOCK= 2 LOT= i7 ZONE= AG%UB DI%T4= E
AREA= 00806200 F/A= F WIDTH= 50 DEPTH= 124 R/W= 40
4 OF BLDG%= 4 DWELLINGS,-
OWNER=
WELLING%=OWNER= OL%ON, ARTHUR J PHONE= 509 924 8829
` STREET= 7127 E 9TH %T
ADDRESS= SPOKANE WA 99212
CONTACT NAME= DEAN PHONE NUMBER= 509 327 8770
BUILDING SETBACKS : FRONT=‘--'.. LEFT= 20 RIGHT= 6 REAR= 51
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
--------------- --------------- ------ --------
ENVIRONMENTAL HEALTH INCREASE D
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COUNTY PLANNING LAND U%E ACTION REQ ' D/INVOLVED 88O310 DME
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************************;fil+**** MOB HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1985 MODEL= OAK%BROOK
%ERIAL4= WIDTH= 24 LENGTH= 54 HEIGHT= iO
� PROCE%%ED BY : %ILVA, DAVID
PRINTED BY : %ILVA, DAVID
******************************** THANK YOU *********************************
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INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: -720 ? - r
CITY/STATE/ZIP: <Z25 4i * 93 /Z ( L
SUBDIVISION: U`-% d'i.-) Vc9--Jk
BLOCK: LOT: / ? ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: Dc DEPTH: /_70 R/W:
# OF BUILDINGS: J # OF DWELLINGS: WATER DISTRICT:
OWNER: (J -�G" ' J C'/SO/(/ PHONE: ?2u -
MAILING ADDRESS: ,�/2 7 � `7TT,i
CITY/STATE/ZIP: APE)./4,-/ -- ,,57/5
CONTACT: G7/-Zg4/ /5S'4( PHONE: 9.,'"2,7-
SETBACKS: FRONT: LEFT: :WI RIGHT: '_ REAR: --' '
PERMIT USE: r*b �L ((e^�-e-. 9(()
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: ,�'z{ X 5--q (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: * HANDICAP: SEWER (Y/N) : HYDRANT:
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TAX SEGREGATION ONLY Parcel Number(s): �`�� 3y — ,,,-2// Wm*t.
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ipplication is to be completed in its entirety before processing. I
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OWNER ( IF NOT APPLICANT )
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3E READ BEFORE SIGNING: Thissls on appti�dfion.fQr lax ��r j t purposes only. Complete this 50(2
d return together with supporting documents (i�,,f,,any), tb_th;e ,. pbt.a` $ ounty Assessor's Office at West 1116 t ,' ;
ay,Spokone, WA 99260. Telephone : 4551-369$ `',,•5;)�
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his tax segregation application is for taxing purposevOily. It dhesrn• allow for sale, lease or transfer of Date received
y a;S¢is not for development purposes." (Pied's• si)n )el. e I , -
Oa Checked by: ;l
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Field Book number ;lt . a,
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ant's Signature (owner or agent) (Date) (Signature) ; , ,
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