1988, 02-12 Permit App: 88000240 MH g
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 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
FRC.:I:.lf:::(.:::•: NUM i:,l:::R.... 88000:::.40 DATE=I I::::::: '12. 88 PAGE- ..:
APPLICATION
K******** ******************* ** APPLICATION ;tlr iG i+lr iq••}o-•LL 9:;9}-gt:ui*•?}:Ji•}+i•Pi M:•Jli ini*•ji.'f•*'?+t**•?i•it;*j'i i+t•
SITE
. iF STLCET. 4616 E 16TH • tI ! f ,r = . t . 26532-0125
ADDRESS= SPOKANE I:;i{'i 99223
PERMIT USE— TRIPLE WIDE MOBILE Hc:ii`•1E:: .... REPLACEMENT
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I::!..r•i I •11•.... 001124 PLAT NAME= t'I i••j I-'I~'Y 5—ACRE TRACTS
BLOCK=k iI ...,_IIJI j.. rt. DIET
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AREA= t;j i;j i;,t i::ii:?••::...• !=, i..l:::: f.:. WIDTH= 330 DEPIH= 660 R:'1•.
t.!1' B I....I.?G,,,_ .rL •„• DWELLINGS=
... STOREY, . :I : , . PHONE=: 509 484 yj ;p
STREET=
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6 E 16TH AVE
ADDRESS= SPOKANE iliA 992
CONTACT NAME=:::: (:iWNE:R PHONE NUMBER=
BUILDING SETBACKS : FRONT= EXIS LEFT= I::: is;' RIGHT= i:::X:I S REAR= E:::'}::I:,
:g.....i'•;+i**•;i••?i...•.!+i•j+r..jt...is***-ji'3+i'.......*./t*3....i REVIEW .I.N I::'O F N!i I .I.c.i N .jR.:..j i•?G•Pi:pr-y,i i,i•a,i i+,i.P:-?+i.pi-pi•?L:t,_.n..j;...y,,.ti..ji.:P.:,i.:,,..j,.:)t.
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DEPARTMENT NAME REVIEW COMMENTS IN/OUT
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ENVIRONMENTAL Eli " IIUOR ADDITIONAL LA : vaWATER 8 8 i . : s
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CONTRACTOR:::: OWNER PHONE=
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SERIALt= WIDTH= 36 LENGTH= 56 HEIGHT= 10
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : Iili f`:I !'I::.I..., GLORIA
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INFORMATION WORKSHEET
PARCEL NUMBER: /-74,16? f e' 7 /1/ Yea el / / --
STREET ADDRESS: ‘76<r' 7‘. - -
CITY/STATE/ZIP: , i , / '
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: 3YG DEPTH::W R/W:
# OF BUILDINGS: : j 06.35—DWELLINGS: WATER DISTRICT:
// 7 V-
OWNER: � ", PHONE: -
MAILING ADDRESS: (c) ""?rj --
CITY/STATE/ZIP: C"...---Tait �,� /
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CONTACT: 2 ,.121--y-,--2p___.,.._-- PHONE: -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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7-477:-j�vt-� ******(********
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW REMODEL: '-'- ADDITION: CHANGE OF USE:/re
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DWELL UNITS: F OCCUPANT LOAD: :5 BUILDING HGT: l� STORIES: 7
BUILDING DIMENSIONS: 3 !" X 6 (WIDTH X DEPTH) SQ. FT. : / 7e,,67
REQUIRED PARKING: # HANDICAP: SEWER (YIN) : Ale% HYDRANT:3400ft.
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