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1983, 04-08 Permit 83A-2747 MHLPLNMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. LOT 2. Pinecroft 'Mobile Home Park Sp. 4 E. 119 0 Mansfield -- 7 BLOCK SUBDIVISION Spokane. Wa. 99 206 OWNER 3Henry Doney & Gordon Meyer PHONE PHONE MAILING ADDRESS P fl Box £i528 - San Marino C CONTRACTOR 4 Northwest Mobile Horses Inc ADDRESS E. 5305 Sprague Spokane, 5. ADDRESS DESIGNER . LICENSE EXPIRES IJa. CHANGE OF USE FROM TYPE ICJ NEW 7. OF WORK 0 BLD. PARCEL NO. 0 544 —0421 LEGAL DESCRIPTION: ZIP Actual Set Backs in Feet to: SI(` ,roci 91108 North I South LEast PHONE 535-2909 ZIP 99206 PHONE ZIP TO ❑ ALT. 0 AD' N. 0 RPL. 0 MVE. 0 OTHER ❑ PLMB. ❑ MECH. a M.H. ❑ POOL Size of Parcel Type Const. Occupancy West Zone Classification Residential EQ" Commercial ❑ Spr'nklered ❑Yes ❑No ❑Req'd. New Const. Valuation Remodeled Valuation Main Floor Lipper Floors Garage/Storage Cover Deck Uncv. Deck No. Baths No. Floors Certifi. of Exempt. or Variance Total Bldg. Floor Area Greenhouse Fin. Basement No. Fin. Rooms Required Yes No" Received Yes No El Unfin. Basement No. Dwellings Number DESCRIBE WORK • Set a 1963 Vindale 10X55 Sn E355XFK7032 Shorelines/Flood Hazard Plans Requ red ❑ Yes❑ Not Applic. 0 Received ❑ VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATERPUBLIC PRIVATE 0 SEWAG SEPTIC SEWER 0 Ownership Public 0 Private I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF OWNER OR AGENT DATE APPLICATION SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. *h/ib. SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) 50.00 TOTAL $ 50 nQ PERMIT NUMBER SPr "Z — ) U 7* *50.00 *50.006 *0.00 274.62 04-08-83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE S)PDQ 8 - 8 3 PERMIT NO. Z * 5 O. O u a i- TOTAL