1991, 11-01 Permit App: 91007485 MH"1"- -IrTT.0 ,i.,! A. 1 . tOT1 rT- G.Ptri%an
*•**•*******•x* aux•****KKK**ai..x..*.K.;;..K THANK YOU*********•a..*.*********3e**.*..*.***.#.*.*.*
SPOKANE COUNTS( DEPARTMENT OF BUILDINGS
0
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 perm it/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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91007485
APPLICATION DATE= 11/01/91 PAGE= 01
****•** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4029 S BOWDISH RD PARCEL".= 33544-9057
ADDRESS= SPOKANE WA 99246
PERMIT USE= SINGLE WIDE MOBILE HOME CS Arlijnms>
PLATO= 999999 'PLAT NAME= RANGE
BLOCK= LAT- ZONE= UR -3.5 DIST;- F
AREA= 00000000 F/A= F WIDTH= 140 DEPTH- 330 R/W= 60
0 OF BLDGS= 2 0 DWELLINC.;S= 1 WATER DIST = CHESTER
OWNER= WHITEFORD, EMMA-MAY BRITTIN PHONE= 509 838 6541
STREET= 22816 E CLEARWATER LN
ADDRESS= LIBERTY LAKE WA 99019
CONTACT NAME= W MAC WHITEFORD PHONE NUMBER= 509 838 6541
BUILDING SETBACKS: FRONT= 35 LEFT- 5+ RIGHT= 5+ REAR— 100+
**••******•********************** REVIEW INFORMATION *********3*****3************
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
BUILDING SETBACK REVIEW REQUIRED
HEAL..THD:IST INCREASE IN LOT COVERAGE
****************************** MOBILE HOME PERMIT
CONTRACTOR= OWNER
YR/MAKE= 1977
SERIALS -
PHONE=
MODEL== BARRINGTON
WIDTH= 14 LENGTH= 70 HEIGHT= 10
****************************************************************************
aE PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*
*******************************•*******•**************************************
MOBILE HOME ORIGINALLY SET ON PROPERTY IN 1977 (TITLE OF
ELIMINATION)
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU*********•***********aE********•****
E
Spokane: Coun
DEPARTMENT OF BUILDING &SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
L76-17-/- 90s-7
STREET ADDRESS: S
CITY/STATE/ZIP: % �J6
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: -1,0w/ 1?/A: WIDTH: AA9 DEPTH: , 3fle) R/W:
# OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: ehlar Z
OWNER: cowl flT y Stm aim/Fain
MAILING ADDRESS: C, c7c78// ezew imrc,e 4/9/UC
CITY/STATE/ZIP: L i eX-73 L4�, W%� 99-107
CONTACT: if/ ,LJgC 4,47/ /?3e» PHONE:. Z27 -65W- bJ y,/
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Manufactured Home:
Year_i_C17 7
Make13ARRTo►J Width iq Er Length 70 Pr
Vehicle Identification Number %\ 718.3 le 505 -
Registered Owners:
Names ENO Amy a mil butinEma Signatures)
Legal Owners:
Names C? /$# /yl/% BAN 7714/ p%1/7a a Signatures' A-At%i1t1h �3As*w`i
'SIGNATURES OF OWNERS 1 DICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH ITLE PROVIDED BY CHAP R 46.12 RCW ANO
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY W HW H THE HE/S
11 JeaTi✓CH IT IS/15BEING AFFIXED.
7
Land to Which Manufactured Home is Being Affixed:
Property Tax Parcel Numbeqr 45-3Y 9057
Story /YO Er or TN /No F��r 0f p6 E4sr 30o firr OF re k&sr
Lego1 gcriptiprT/s0 F- 0 T/}�c lt��jjjII r • sow a'S R f? OF
5�7)dN 33 "TOWNS IP .�S NOX rH �R�/ - Ht/ 614.4, S,'Atm
Owners' Names 6/' 4 /Tia /WardA/N/7&'f'pt� Signatures2
sr
'SIGNATURES OF OWNERS INDICATE ONSENT TO HAVE THE MANUFACTURED HOME ADDED TOT EH REAL PRE • 14
Building Permit Office Certification:
I certify that the manufactured home has
number ?/ - ?yea—has been issued
inspected upon completion.
-11 , BUILDING & SAFETY
SIGNATURE
NAME
been affixed to the real property as described above and/or building permit
for the purpose of affixing the manufactured home to the land and will be
SPOKANT.
SLOG. PERMIT OFFICE
DATE PHONE NUMBER
County Auditor/Agent Licensing Office Approval: /Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME
SIGNATURE
OFFICE/CAAP OPERATOR NUMBER
DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME
SIGNATURE COUNTY
DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
TD -420.730 MFG HOME TITLE FLIM IN/1/90) Page 2 of 2
s .
Contractor UtnVersal Jtee1 nlaE'S Inc AOaress i'+- n Lk/ Jr L;U llu al Un 7 <v
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 33544-51
Sac 33, Township 25_ Rangy 44, S. 140 01 the N. 440' of the E. 300'
W. 330' of the N.W.4 of the,SaJ.1/4.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone
Size of Lot 140' x 330' Sewage System CFon:
Stories 1 Dimensions 25' x 30' Y Total Sq Ft 7501( Valu
Rooms — Baths 4 Basement (VA Foundation Const Chimney Fi
Fu I, part, none) (Kind)
Heat. System At ' Type of Roofing 5444 Ext. Finish S f cc 1 Int Wall Finish _
Use of Bldg. Garage) 72 ZT, eZ272 C4-P�/ No. of Units _Bi
PLOT PLAN'
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locati
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) locat
tand water supply lines.
no
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I hereby certify information submitted is correct and there are no other structures located on t
as shown.
1 `f 0
State L
0293:2
Ind. In
:31)4 s:
RESIDENTIA
1 REQUII
Plumbing Permit —
nt Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
T,.c_ ggen% 052 1`r c-. 471/2V/28
o A
r g t
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Issued Building Permit,R,cWZ
The zone i
Receipt
Remarks
-
Form• 523}Bldg:-Code
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