1988, 04-25 Permit App: 88000954 MH^ ,
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE,WASHINGTON 99280
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agento compile said permit is true and correct.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 specifiedx not.I understand that the issuance of this permit 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,or as a
warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
(
)
DATE O4/25/88 PAGE= Oi
PROJECT NUMBER= 88000954 = =
APPLICATION
********************************* APPLICATION ******************************
SITE STREET= i4201 E ROCKWELL AVE PARCELO= 02542-5601
ADDRESS= SPOKANE WA 992.16
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PERMIT USE= DOUBLE WIDE MOBILE HOME
PLATO= 002278 PLAT NAME= ROBERT LOUIS �7
BLOCK= i LOT= i ZONE= 1111w- uN ��= F �
AREA= 00000000 F/A= F WIDTH= i , EPTH= 155 R/W= 50
0 OF BLDG%= i 4 DWELLINGS=
OWNER= WILSON, STEVE & AUDREY PHONE=
STREET= 14201 E ROCKWELL AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= GORDON CURRY PHONE NUMBER= 509 928 0600
BUILDING SETBACKS : FRONT= 60 LEFT= 20 RIGHT= 20 REAR= 45
****************************** REVIEW INFORMATION **************************
DATE
DEPARTMENT NAME REVIEW COMMENTS IN/OUT INITIALS
--------------- --------------- ------ --------
[ COUNTY ENGINEER
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ENVIRONMENTAL HEALTH NEW OR ADDITIONAL %TE WATFR
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COUNTY PLANNING LAND USE ACTION REQ ' D/INVOLVED 8C
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****************************** MOBILE HOME PERMIT **************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1982 MODEL=
%ERIALO= WIDTH= 20 LENGTH= 60 HEIGHT= 10
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL, GLORIA
******************************** THANK YOU *********************************
INFORMATION WORKSHEET
PARCEL NUMBER: 0/25112- --5(oO /
STREET ADDRESS: E /420 In oe' L(___ Av&
CITY/STATE/ZIP: E' C-C. w y A i pr CJ 4,
SUBDIVISION: Rj, b.f.)v f h 0L( 1SLiA4
Z2�$ BLOCK: / LOT: / ZONE: DISTRICT: F
LOT AREA: F/A: WIDTH: /K)e) DEPTH: / $ R/W: - -
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: rr'��t�! 11 e,1
OWNER: 5 -v( /4,,, /7Gia /se, i PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:
I
CONTACT: 1d "1 0-1 V V1 PHONE: C4,44'.._(9,6-00
SETBACKS: - FRONT: 5C) LEFT: 1) RIGHT: ) REAR: S''
PERMIT USE: � ?Li I wt _ Ake, /e a 5 ,/ _>a
******************************************************************************
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:
PLUMBING INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
***************************************************************************
MECHANICAL INFORMATION
CONTRACTOR LIC#:
CONTRACTOR:
MAILING ADDRESS:
ELECTRIC: GAS: OIL: CCAL: WOOD: SOLAR: HEAT PUMP
ENERGY CODE: WSEC: NWEC: UTILITY: SGC:
APPROACH: PRESCRIPTIVE: POINT: COMPONENT: SYSTEMS:
***************************************************************************
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION NUMBER OF ITEM DESCRIPTION NUMBER OF
PROCESSING FEE YES OR NO PROCESSING FEE YES OR NO
DUCTWORK SYSTEM �� TOILETS 2-
WOODSTOVE/INSERT t/,E? SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP(100,000)BTU BATH TUBS
GAS HTG EQUIP +100,000 ,V KITCHEN SINKS
GAS PIPING - # OF UNITS A4_, DISHWASHERS
HEATPUMP 1-100 BTU GARBAGE DISPOSAL
HEATPUMP 101-500 BTU CLOTHES WASHER
HEATPUMP 501-1000 BTU UTILITY SINKS
HEATPUMP 1001-1750 BTU ELECTRIC WATER HEATERS
HEATPUMP +1751 BTU FLOOR DRAINS
REFRIG 1-100 BTU FLOOR SINKS
REFRIG 101-500 BTU BAR SINKS
REFRIG 501-100 BTU ROOF DRAINS
REFRIG 101-1750 BTU LAWN SPRINKLER
REFRIG +1750 BTU SEWAGE EJECTOR
AIR CONDITIONER 0-3 HP WATER SOFTENER
AIR CONDITIONER 3-15 HP URINAL
AIR CONDITIONER 15-30 HP DRINKING FOUNTAIN
AIR CONDITIONER 30-50 HP
AIR CONDITIONER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS /
CLOTHES DRYER r
RANGE I
GAS LOG
UNLISTED GAS APPLIANCE
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