1991, 08-13 Permit App: 91004970 MHSPOKANE COiJNTY,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 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 permit/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
Cf
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PROJECT NUMBER= 91004970 APPLICATION DATE= 08/13/91 PAGE::, ,:-;•j
3i•3r.•3,:*3i3ti THI IS NOT 't PERMIT 3h3t•:, ik3'<3k
PENALTIES WIL.l.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
fLOC'•K::.
AREA=
OF B#...DGS=
OWNER::::
STREET=
ADDRESS=
S:.
-170' E MFADOWBROOK LN
SPOKANE WA 99216
INSTALL DOUBLE WIDE
MHO1 0 ;' PLAT NAME
00000000 F/A=
i4 DWELLINGS=
M(.if iR ,7`^ t�3#,..i EN r
'10,9;73 E 33RD AVE:.
SPOKANE WA 99206
CONTACT NAME:::- A1...i:)#..:IN T gfif:ff~E •
BUILDING SETBACKS: FRONT= T:::: , #_.E::F _C:::: fE
5S
)I3(3M3':3i3t•*3+:•x•*•7 3i*3i• 3i3ix*3i•***3f*3;i*3i3t* REVIEW 1:NF•ORPlr•tT
n .n..... 24541-9126
MOBILE HOME / MEADOW BROOK
MEADOWBROC)K VILLAGE
5 ZONE= UR -7 t) I , T p::-.
F WIDTH= DEPTH=
1 WATER D I T•
S
VILLAGE MHP,
F:.
PH(:iNE':... 509 922
R w- 30
F'H(..INF: MR .iF,R::: 509 922 2047
f:#:G#-#T:::: X REAP
DEPARTMENT REVIEW COMMENTS
PLANNING NNING LANG; USE ACTION RE::W D/ 1NVOl.. VE D
.) 3 *Jih3i•4.Sri3E3E'>M*3(3M*3 .) *****3•:*):343i•3F3f
CONTRACTOR= OWNER
YR/MAKE= 1991 N A S H U A
ITEM :OE::SC::RIPTIOi`i
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
HAFRGE::
PERMIT TYPE
MOBILE H(:iME: PMT
Si
COMMENTS
3cq 4E -
MOBILE HOME PERMIT 3 3:3*•*3xx•x3
PHONE=
=
MODEL= _
WIDTH= 26LENGTH= 56 HEIGHT=
FEE AMOUNT
120,50
120.50
QUANTITY
AMOUNT PAID
.00
.00
//t oJ4c—
10 Roo
Tot Pit.a/C--ym
... ,,..y,:.
FEE AMOUNT
1+00.00
4,50
AMOUNT OWING
120.50
120.50
ALSO 1_411050
o You i
,-4443 w47.t
lb0 / of
otcc./emit ter/
3k 3e 3f•'' * * 3Q' * M• N » >t .'(* * 3+•) 3: )i 3t• 3k 3i' 3t- 3k'h:• p * * •k ,i * p * 3E * 3( ,t 3S• : ri• * z: 3i $ .,. * •u' . X 3r , 3 * i. 3{ ,• 3E 3' 3i• * 3i• * 3.:d• M: 3i 3t• k( 3•: * 3E * 3E k 'ir j:
PROJECT NOTE::: TOPIC :::: CONDITIONS DEPT = PLANNING
3{• ii it r� 3' ##ANN I~. 5fre-
rE3Hf E #33*3rii* 3*ii i Mik{3k31 k *kE3*: Nj*
ri*s
cow> i71.51)s
/NYr`F/L--
NEED RELEASE OF PHASE 1.1. FOR MEADOW T:fROOK. VILLAGE MHP.
PROCESSED 8'(: JOHN LARSON
PRINTED BY: JOHN L..ARSON
***********if,******************** THANK Y of i..l ********t****
2 -- S2_ R5 -
2c(
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: e Q -7
/` STREET ADDRESS: $ 2.Q( �4e�r/7 %/ Od-S 71?n9.61oz.J Atele1/�
/ /�®/C l,�'�, x,'20 .��./
CITY/STATE/ZIP:
SUBDIVISION: /19/10/V?
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF DWELLINGS: WATER DISTRICT:
PHONE: G - J`'z Z- 2-0147
# OF BUILDINGS:
OWNER:
ALpEi/ /teo,ez
MAILING ADDRESS: 37,e&
CITY/STATE/ZIP: �%,!%`�r 42AA-- 91,2.-494;
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: A
****************************************************************************
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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:__
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement - Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
n
I 2(X. 44.0'
(5- SZ '41
z x C-11 7/ohte---
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