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