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1990, 08-21 Permit App: 90004078 MH SPOKANE COUNTY DEPA1 T T OF BUILDING AND SAFETY W. 1303 13FierrAritY AVENUE SPOKANE,WASHINGTON 99260 `1,509)456-3675 I certify that I have examined this permit/application,state that the informatio contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing. 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/application 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,oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE :'ROjE:f::T NUMBER= 90004070 DATE:_ 08/21 /90 - 1::'A1.;1:.::: 01 APPLICATION ********** *********** *K*:**** ;;F F''I...f I..:t:i i .I.1.1 f11 0**********.*** ****************** SITE STREET= 7202 F: 10TH AVE I::: t!•;i.:EL.. 245 t ADDRESS= SPOKANE WA 99212 PERMIT USE= SINGLE WIDE MOBILE HOME PLAT4= 002955 PLAT NAME..::_ W000L.AWN PARK :'I...0CK.== i0 I...0T-: ) 70NE= A1';4'1.Jk; DIST4= AREA=:: 00000k'O0 1- /A:r.: F ' WIDTH= 4 00 I)1-1-'"riI:::: 120 b /W= 45 : OF BL_nfrs::r. 1 n DWELLINGS= .1 OWFiE::R::::. 'v:r iNGO , A. C. PHONE= 509 920 4567 r STREET= 9407 I' 1 2TH AVE ADDRESS= SPOKANE WA 99206 ., CONTACT NAME A. C. VINGO PHONE NUMBER= 09 920 4507 BUILDING SETBACKS : FRONT:.- 32 LEFT= 31 RIGHT= S REAR= 25 N:a{ ii*** :**.*..if•**•*•#*•**••n:***•*•*•*hi*•** REVIEW INFORMATION ***********K*********:k*** DEPARTMENT REVIEW COMMENTS APPROVAL ;..:i It it l NT l; • BUILDING SETBACK REVIEW REQUIRED ._ ..� . .. ...°Za-- I•IE:`Ai...THp:r.ST NEW OR ADDITIONAL WASTE WATER ................................_.........._.............._......... ;:*•x**}t.. *•**ii•*•}e**.y;.*.....H.};•*•*k*•''*u.:„..*3' Mf:IBIL1.= HOME PERMIT * 3 ' ************* c::ONTRAC::TOF ::: OWNER PHONE= YR/MAKE= MODEL..:::: SE:.RTX11...4--.. WIDTH= 14 I...E.NG. IH'- 60 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT • INSPECTION FEE STt'iIF SURCHARGE Y 4 .. k 0 COUNTY SURCHARGE Y 040 PERMIT TYPE FEE AMOUNT AMOUNT” I''A1:1) AMOUNT OWING MOBILE:: HOME PMT 62.50 ,00 62..90 62.50 , O0 62,50 PROCESSED BY : JOHN i...f i ,`i(:1N PRINTED BY : .JOHN LAR S ON :?••k•****•*}i•}k*•*•*•,t*•h:*•*••iii}i*•*•it•#*•k•R•ii:•.i'*:}f*•*• THANK Y 1:1 I I •h::.:.p:••*•*}i•n:•Yt*}f*•*.•h:?4*•hi}t}i}k' •..*.**.N:...... ... AUG-21- 9 12:28 ID:HEALTH SPO TEL NO:4564716 #370 P01 � y tiLIG—21- "90 10:53 :ID:BLDG AND SAFETY—SPO TEL r :509-456-470:3 14969 P01 r SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY W. 1308 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509) 456-3675 iaertifyfhallhave oxarninedthig rmlt/applloallon,statethattheinformationcontalnadinitandeubtoittedbymeotrnyapenitoCompile$aidp arm,t/appplioalJzA.firuC end cOrtoct.and authorize Spokane County to proceed with proceaeinp, In addition, I have reed end underetarta the INSPECTION RFQUIREMENTSJivOTtC. proviaiona Included he"air and agr40 tot complyy with same•All provlsione of laws and ordinances ggawrning 1hi0 typpo of work wtli be catnplled with whether apecln d tera nor not,tuhdaratanathatthei euenct(oflhiepermit/appliCptionanderyauieepuentinepect`onapprovalsorCartificateeofOrcupemC' h*flnothpoongtruedto ar/othe rle:1y so viciate Grcancel1ruotlon. th•proviSipna otany Mato or 1001 law regurating conatruotion,oras I warranty of conformance with theprovtslont*of anyatateor local laws r9aUtir ccr SIGNA7O3E OF APPLICATION OWNER OR AGENT — r,.,. ----�— DATE tyrlmi'rw-k „ 904:,)407ri „ i>A TF tIH/"ii /9�) F,'AF'1; ',,, o1 t:4!°'f'. •'f.:s1'T('1N Y F t:it a° 4c r�li 0, ' 1 ):t(•3(Jt 1()t•�l is fi 3r •c.yi 7f�(y...ti. n 1 lr I.. 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OR t1I)1)II„I:r'} AI. 6Jn::r ..(I. ISI(", TI' R at eh x 0(,t..„.,(rf et, as 4(ao�t;tt•a;,}(Hs la�t>it• 4()c t(4u r ri�,: (')i c;I f' r l(')rl I i:' 9 Pel/-5t) . ., I l ait4f;t .*fvxx#r40+46ur0(••pa)(ufip *0 (::oNT A(; r'(3ku I7WrvI7J prdi tNF. b.l'!').)'rI•l.. 14 I E,N(;;'M"W; 60 HF ;I;E;HT:,:: i0 1;'rlaps .. .'F:VAII.r,r � tIN ... ptiANrTTY II R isi1OUN,r §Y;Mck6RH5Aip '0,00 COUNTY ,S'1,JR'CH4N(Kl:;. YP4,50 keo ' N AMOUNT PAID ��� ) SW„ MW.rrlMr .._.. . 00 62. 50 F'ROJTFD )iY li1I•q^J i.(1I', ONV w c {is A i ;01!;f„11t, j i J 1 i v;J(.}i..k.k..t,,g,,j(..x.or x.:ts,d6'0(.x*****Own k k.,k.6 ,,#f'Ot$(w,k Ota Ob Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, 'WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: .;y<37 4 yd - S'" ? STREET STREET ADDRESS: 72-6) CITY/STATE/ZIP: Vg-; e uja,s-X , 9 2 SUBDIVISION: l/(/ 0 0 al/AY° n car BLOCK: /) LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: �a v y n '' d PHONE: - - V MAILING ADDRESS: 9 l 0 „�- / 2_7 CITY/STATE/ZIP: cfa2O '677 t Gd-1,, '32() CONTACT: PHONE: i O) -92 - s-G SETBACKS: - FRONT: 3r� LEFT: j i RIGHT: .,..5- REAR: 0,46- PERMIT USE: /f- G� **************************************************************************** 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: SPRINKLERED: CRITICAL MATERIAL: ti Ie. ' , --4,-; .. ,. ._ ,- - .• , 1 . Qt 9'4'1,, t zAt � .4 s . -� � 1! �` .- as '`?v t ; ;, } y :F ▪ i�I�7IIC' I '. 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