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1988, 10-13 Permit App: 88003232 MH
OCT -17 -'Pd ID:HEALTH SPO — r)CT-13-'eF., ii.5eIDLL ND :AFIFY-sP50 TEL [10:509-456-4711; #173 POI TEL NO:509-456-470Z 14230 Pel PROJrCT NOMPERfl, 00003232 OATE.. 10/13/00 PAGEn 01 ArPLICATIoN X**4H(4*$(00)(k**401(wYRX-)M4 ApaIGAT'ION SfIE NTREET 19021 E MONTGOMERY AVE PAROU4- OWi52-0017 ADDRESS OTI ORL:HARDS WA 99027 PERNIT USEv sINGLE WIDE MOBILE - REr'EArEMFNT rLA'ro, 00146 PLAT NAME BARKER ROAD mOPILr HOMU; 1ST A i1 OK LOT- 17 ZONE- RMH D WIDTH- 70 EET' 120 R/Wt- OF 11DG. 1 4 DWEELINCySm 1 OWNER ROBERT ,TTREE1- r DOX 41309 ADDRENS SPOKANE WA 99216 rHONE 509 '06 1616 CoNTACI NAME THOMA cRICK PHONE NUMBER 509 if"26 1616 BUILDING srIBAcv 1 LET EXIS WIGHTY4. EXI REAR ExIS V:0*K3k)1:0)r•*.*)(4. aNIEw It,WokmoloN 4.0,,t-vvoi6,*00tooigt*R**1* DATE DEPARTMENT NAME REVIEW LOMMCN1S IN/OUT INITIALS - - - - - - - - - - - - - - ENVIRONMENTAL HEALTH NEW Ok DI -I0 WAfTIE wJER 0e1017 " 4kxMOT:“Lr HOME wwl (X)WHALTOR- OWNER PHONE YR/MAKv- 19134 mANLETTE MODEL XRIAL4%u wIDTHN 44 LENGTH -?0 HE'IGHT- 40 FkOCEsgED DY WEN)[ , LLORIA PRTNIFD ny aNDLL, GLORIA WY*111(411:0**IcKii:Xt*X**0 THANK yUU **004U0**OffO*OVVV&X.04f:XkYlkiONU** PARCEL NUMBER: STREET ADDRESS: INFORMATION WORKSHEET /9U�? -- .J J CITY/STATE/ZIP: 2,ce&naeres SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W:_ # OF BUILDINGS: # OF DW/ELLI/N�GS: WATER DISTRICT: OWNER: r'1 ( _r� GK //1D�1��/iC,C� bNE: JrD9 - a�lO - MAILING ADDRESS: n X ZZ 3 (2 9 CITY/STATE/ZIP: ---;ZKat) e , 606-1 k,yd/(o CONTACT: ? f7ama ,5 C_ i i Gly PHONE:- SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 1 `%O I Marla H,- kc)l A t -C /SI X*70 *xxxxxxxxxxxxxxxx*xxxxxxxxxxxxxxxx.xx*xxxxxxx*xx*xxxxxxx*x**xxxx*xxxxxxxxxxxx*x BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: 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: SEWER (Y/N): HYDRANT:_ PLUMl3ING 'INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS: *xxxxxxxxx*x*xxxxxxxxxxxxxxxxxxxx*xx:xx*xx*xx*xxxxxxx*xx**xx****xx*xxx*x**x MECHANICAL INFORMATION CONTRACTOR LIC#: CONTRACTOR: MAILING ADDRESS - ELECTRIC: GAS: ENERGY CODE: WSEC: OIL: CCAL: WOOD: SOLAR: HEAT PUMP NWEC- UTILITY: SGC - APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS: xxxxxxxxxxx*xxxxxxxxxxxxxxxxxxyrxxx*xxxx7r*yrx*xxxxxxxxxxxxxxxxxxxx*.xxxirxxxxyrx MECHANICAL FEES ITEM DESCRIPTION PROCESSING FEE DUCTWORK SYSTEM WOODSTOVE/INSERT GAS WATER HEATER GAS HTG EQUIP(100,000)BTU GAS HTG EQUIP +100,000 GAS PIPING - # OF UNITS HEATPUMP 1-100 BTU HEATPUMP 101-500 BTU HEATPUMP 501-1000 BTU HEATPUMP 1001-1750 BTU HEATPUMP +1751 BTU REFRIG 1-100 BTU REFRIG 101-500 BTU REFRIG 501-100 BTU REFRIG 101-1750 BTU REFRIG +1750 BTU AIR CONDITIONER 0-3 HP AIR CONDITIONER 3-15 HP AIR CONDITIONER 15-30 HP AIR CONDITIONER 30-50 HP AIR CONDITIONER +50 HP VENTILATING FANS EVAPORATIVE COOLERS HOODS CLOTHES DRYER RANGE GAS LOG UNLISTED GAS APPLIANCE NUMBER OF YES OR NO PLUMBING FEES ITEM DESCRIPTION NUMBER OF PROCESSING FEE YES OR NO TOILETS SINKS SHOWERS BATH TUBS KITCHEN SINKS DISHWASHERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIC WATER HEATERS FLOOR DRAINS FLOOR SINKS BAR SINKS ROOF DRAINS LAWN SPRINKLER SEWAGE EJECTOR WATER SOFTENER URINAL DRINKING FOUNTAIN A16 Eel 'I ;?o p 77 J'7*L- A, 04,01017-10,OV 9-4-f c zj 1A Au;;lIa "V ev kd M 141 cion ;?o p 77 J'7*L- A, 04,01017-10,OV 9-4-f c zj 1A Au;;lIa "V ev kd M