1992, 05-13 Permit App 92003376 Double Wide=
SPOkANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information 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, 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= 92003376
APPLICATION (?ATF:.. 05/1 3/9 ? H AGE= 01
• W•ic*3+:* THIS IS NOT A PERMIT 3r3a3e3e3e3t-
PENALTIES WILL. FE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE:: STREET::= 17709 E INDIANA AVE PARCk'.L4== 0 5 3-09'. 3
ADDRESS= GREENACRER WA 99016
PERMIT
USE= DOUI{I...E WIDE MOBILE HOME
BI_.C)C:E<==
A R F. A-:
4 OF Dt..DGS==
002044 PLAT NAME= PL.AT'A' (.;IEENACRES IRR.,DIETRTC
LOT::. ZONE UR-•.3., 5 DIST4- C;
F/A= A WIDTH::= 152 DEF'TH= 660 R/W= 40
w: DWELLINGS-: i WATER DT,ST == CONSOLIDATED 1...IDATF:D IRF4'G 41
OWNER LADD, ROBEF.:T , LAUREL.
TREET- 9320 N MOUNTAIN VIEW L.N
ADDRESS= SPOKANE WA 99218
PHONE= 509 466 329
CONTACT NAME.:= ROD LADD PHONE NU.3MBER== 509 927 9254
BUILDING SETBACKS: F RONT= 70 LEFT-: 30
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DEPARTMENT
BUILDING
Ca) E:::1'`GINEr: R
(3) HEAL.THD:i: •r
(I) PLANNING
REVIEW' COMMENTS
RIGHT= 50 REAR = 1004
F:EVIEW INFORMATION •*3kri3e#3iit3i3t#3F3r343h3E3i••;•;#*34ii-3i•3I.3t'3k3i•
t"OMMENTS
SETBACK REVT.E:,,a REQUIRED
NEW COUNTY RC)AD APPROACH
NEW OR ADDI++TI:ONAL.. WASTE WATERE.INF''I.. ATT EDr'��.)ECYREGAT ED PROPERTY
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CONTRACTOR::::
STREET=::
ADDRE:SS:=
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PROCESSED BY:
PRINTED BY:
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MODEL..:::
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THANK
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PHCONE=::
LENGTH:LENGTH= HEIGHT=
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SIGNATURE: C) C3-Fe//41 DATE: 3o
IF YOU CANNOT li"STALL THIS SYS: ,9
TO THIS APPROVED PLAN, YOU T., UST CALL THE
AT (509) 456-5040 PRIOR TO INSTAL!-AT1014.
SPECIFICATIONS
I
TYPE OF SEWAGE SYSTEM: ov-&,t -
44 "A
LINEAL C -Q -9=E FOOTAGE. 5-0 1T-'
TRENCH WIDTH; 3L ilk
DEPTH FROM ORIGINAL GROUND SURFACE TO BOTTOM
OF SEWAGE SYSTEM:
OTHER: 140 f -A d
f— - 0
SIGNATURE: C) C3-Fe//41 DATE: 3o
44 "A