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1982, 12-14 Permit 82B-1894 MHMrrll_1VM 1 Mill/ 1-'LIKIYI I 1 SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHTNGTON 99260 / (509) 456-3675 PERMIT NUMBER gins— tSg4 1. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS East 11920 Mansfield LOT 2. 29 BLOCK SUBDIVISION Pinecroft Mobile Home Park 3. 4. 5. 6. OWNER Gordon Meyer/Henry Doney MAILING ADDRESS Manager-Pinecrof t M F. 1 1 c)7f1 ?fans field_ - Spokanne, CONTRACTOR Northwest Mobile Homes ADDRESS E. 5305 Sprague - Spokane, Ja DESIGNER PHONE H Park Wa - LICENSE EXPIRES PHONE ZIP 99206 PHONE 535--2909 ZIP 99206 PHONE PARCEL NO. 09544-0421 LEGAL DESCRIPTION: Actual Set Backs in Feet to: North South 'West Size of Parcel Zone Classification Type Const. Occupancy New Const. Valuation East Residential ❑ Commercial ❑ Sprinklered ❑Yes ❑No [Meg 'd. Remode ed Valuation ADDRESS ZIP Main Floor Upper Floors Garage/Storage Total Bldg. Floor Area G7 Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE © NEW 7. OF WORK U BLD. ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE. ❑ PLMB. 0 MECH. X7 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Yes❑ NoC3j Received Yes No Number 8. DESCRIBE WORK .Set a 14 X 70 Mobile Home VALUATION Ai. S, 00C-7 SOURCE F UTILITIES GAS ELECTRIC WATER PUBLIC PRIVATE ❑ SEWAG SEPTIC SEWER ❑ Shorelines/Flood Hazard Yes❑ Not Applic. Ownership Public D Private V I hereby certify that I have read and examined this appl'cation 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 hether specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel e p isions of any other state or local law regulating construction or the performance of construction. SEE REV E FOR R UIRE INSPECTIONS SIGNATURE OF APPLICATION OWNER OR AGENT DATE 12-10-82 SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. reipi $Z PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plans Required ❑ Received CI f‘4101 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) 50.00 TOTAL $ 50.00 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEL EDL 4 - 8 2 PERMIT]J9.9' ' 2 *5O.0.0 AL