1985, 11-08 Permit: 00008608 Mobile Home #15TSIGNATURE OF
OWNER OR AGE
.108 ADDRESS:
ADAMS RD 151.
~~~=
'')AMS/ JAMES F
4415 N ADAMS RD 151
c "" ZIP: "`'-ANE WA 99206
, AMS/ JAMES F
'JAMES F
4415 N ADAMS RD 15T
�0^� " ZIP: KANE "WA 99206
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INSPECTOR:
111.Y��' 4400
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FINAL
ADAMS ROAD MOBILE HOME F ARK
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26 SINGLE WIDE MOBILE HOME
U."~PERMIT:
4.75...i4 ADAms RD 15T
MOBILE HOMES
Make
Number 1 Width 10 Length 55 Height 10
Misc Desc SURCHARGE
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APPLICATION �~�
DATE Q�
0009453
DA`.'
11/08/85
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5"008608
MOBILE HOME $51.50
=
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CG NC
PLANS EXAM:
MOBILE HOME PERMIT
Serial *
TOTAL FEE
Fee
Misc Fee
$51.50
50.00
1.50
OFFICE COPY
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SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE *:
ARCH /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
':0'l
CENSUS TR:
INSPECTOR:
PLAT *:
iI o
LOT & BLOCK
FINAL
PLAT NAME:
'(' ?01:0 t°OB1LE HOME:: PARK
ZONE *:
ZONE
FSB
S - 1
5 - 2
RSB
MOD
i' 1IV
USE OF PERMIT:
JOB ADDRESS:
N >a1)Arib
MOB HOMES
Mahe
Number 1 Width 10 Length 55 H ei.ght 10
Pi :6. sc: best S6.UR (:rHAR GE
SEQ. *:
DATE:
PROJ *:
FEES:
PAID BY:
CA
CK
CG
NC
COUNTER APP:
PLANS EXAM:
DATE:
MOf.4 HOME PERMI..(.
Ser'• :6.a:6. t
5
is .1z. i:. •
M:1. s: >c: Fee
,
5 it
r
a
0
U
INSPECTOR'
1 SET BACKS
2 FTGS & FORMS
3 STEEL
4 PROGRESS
illi I
III
5 BOND BEAMS
MILM
BUILDING
6 ROOF DECK
7 FRAMING
�_
8 INSULATION
®___S
�_
a-
___
_
__�
9 SPECIAL INSP.
10 ASSEMBLY -
11 FIREPLACE
12 EXTERIOR FINISH
_
13 DRYWALL
14 EXT. GRADING
In
15 FINAL
16 GRD. PLBG.
1 1 7 WATER PIPING .
18 DWV TEST
Mill
r
C
19 FIXTURES
_
I=
20 SEWAGE DISP,
21 SEWER
2 TER HEATER
I
cr
tiM ail 0
23 OGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
38 VENTILATION SYS.
imillilli
39 PLENUM & DUCT
40 GAS TEST
ME
41 FURNACE
DAMPERS
=EMI
_
i 43 INLET /OUTLET.
44 COMPBUSTION AIR
,45 COMPRESSOR
146 APPLIANCE
r 47 FIRE DAMPER
48 SMOKE DETECTOR
49 HOODS
150 PROGRESS
FINAL
a2 FIN/. INS,
1E--)3 FIRE PREP ENT.
54 OCCUPANCY / -EMP,
55 REQUESTED
56 OCCUPANCY /FINAL
.®
__�
SPECIAL
57 OCCUPANCY /OTH/OTH ER
58 COMPLAINTI7.ONE
59 VIPLAINT /BLDG.
___
-_Mill
60 MPLAINT/OTHER,
I COMMENTS: