1992, 07-15 Permit App: 92005319 MHW.
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 :t 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 permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not beconstrued to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92005319
APPLICATION DATE= 07/1 5/92 PAGE= 01
{f{r.#{i{i .;i. THIS IS NOT A PERMIT ***X**
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3516 N DONWOOD ST PARCELAP= 550:4.0203
ADDRESS= SPOKANE, WA 99016
PERMIT USE=
PLATO=
BLOCK:
AREi:A::.:
OF BLDGS:-
OWNERT•==
STREE.
ADDRESS
DOUBLE. WIDE MOBILE HOME - REPLACEMENT
000646 PLAT NAME=
LOT:
F / A:::
14 DWELLINGS=
POWELL, NELS & TANA
2507 E 10TH AVE
KENNEWICK WA 99336
CONTACT NAME= NELS POWELL.
BUILDING SETBACKS: PRINT== 704 LEFT=
#:####ii#•##iE##{:#•{i'#*#ii..ii.#*.k#iiie3*3{fi4
DEPARTMENT
REVIEW COMMENTS
DONWOOD EAST
3 'ONE::: UR -7
I:' WIDTH=:: 60
i WATER DIST
DIST=....
DEPTH::::
'I
G (}
R/W= .50
PHONE= 509 582 8027
PHONE: NUMBER= 509 502 0027
15 RIGHT= 5 REAR= 2 5
REVIEW INFORMATION
BUILDING SETBACK REVIEW REQUIRED
HEAL..THDIST NEW OR ADDITIONAL WASTE
ii.#..kH.#{i.#.#..i(.{r.{r.#.#{i{F{i##iF rk{4{i. 1* u{{.u.#.ii..*.y:
WATER
MOBILE HOME
CONTRACTOR= UNKNOWN
STREET:: UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1909 FLEETWOOD
SE_RI.AL:1'r=
ITEM DESCRIPTION
INSPECTION FEE.::
STATE SIURCHARGE.
COUNTY SURCHARGE
PERMIT TYPE
MOBILE HOME PMT
hMODEEI
WI D'T I
FEE AMOUNT
122.50
122,50
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: WENDEL, GLORIA
###'k**3**#'#'L:3*
ii{i #** ihi: h:*{k
APPROVAL COMMENTS
PHONE=
20 LENGTH= 56 HEIGHT= 00
QUANTITY FEE AMOUNT
2 100.00
5'
4.50
i 18.00
AMOUNT PAID
,00
.00
'{i'di..y..k.'A'r:a'•kai#'{i'Ni#'##{i..ii.{i.ii..li.iF.h. *3i..h. *ii•ii•ii•*'Y; THANK
'i O LI ii i{. ii'i[' #'k'h'.
AMOUNT OWING
122,50
122.50
'{i,. ii. )i..ii. #• # # 1i'b? 1i..)f'#'H # ii' 3* #.h. ii ii # iii{ ii L:
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 560/,5< 0a03
STREET ADDRESS: ^/35J/0 QnMWO00
CITY/STATE/ZIP: 0773 oecHm*cs k/A- QQOa7
SUBDIVISION:
Don/WODn SflsT
BLOCK: I LOT: 3 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: (4 8 DEPTH: /,4V R/W: it)
I OF BUILDINGS:
I OF DWELLINGS: WATER DISTRICT:
OWNER: N6LS - TN/9 L. Pni v ga._ PHONE: .57)1 - S ga,- 8-o17
MAILING ADDRESS: AV .26-67 C , /04i
CITY/STATE/ZIP: KENNFW/Gk WA 92'334,
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
t*****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
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: I HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Al
Ss - Georg el-- - 11, o,,, i --
as Prop e
.- 0+,-. s kit. -s