1993, 03-15 Permit App: 93001500 MH {
PROJECT NUMBER= 93001500 APPLICATION DATE= 03/15/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 824 S WILLAMETTE ST PARCEL#= 35233. 3104
ADDRESS= SPOKANE WA 99223
PERMIT USE= DOUBLE WIDE MOBILE HOME
X (L< ,_, C(-t;; p
PLAT#= 003533 PLAT NAME= ALCOTT GROVE l
JL � '
BLOCK= 1 LOT= 4 ZONE= UR-3. 5 DIST#= E l
AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 135 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
-'OWNER= KINZER, ANDREW J & BERNADINE PHONE=
STREET= 5220 E 3RD AVE
ADDRESS= SPOKANE WA 99212
CONTACT NAME= GENE SIMPSON PHONE NUMBER= 208 773 3168
BUILDING SETBACKS: FRONT= 30 LEFT= 36 RIGHT= 6 REAR= 51
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED ROA1 labil 3 .,,./3
COMMENTS:
ENGINEER NEW COUNTY ROAD APPROACH 03 F-4 137
COMMENTS: S
ENGINEER FLOOD PLAIN OR DRAINAGE AREA ?-27f/t/79/-5 7- 6/?:5114 d/( 3--/2 ` 2
COMMENTS: t /r ,�
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1993 MODEL= CHAMPION
SERIAL#= WIDTH= 28 LENGTH= 56 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100. 00
STATE SURCHARGE Y 4 . 50
COUNTY SURCHARGE Y 18 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 93001500 APPLICATION DATE= 03/15/93 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122 .50 . 00 122 .50
122 .50 . 00 122 .50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: S . C
a \.\).18....ecr-vv,..4i&A.
CITY/STATE/ZIP: s,
SUBDIVISION: v�
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: - F/A: WIDTH: -] U DEPTH: \-3S ' R/W:
I OF BUILDINGS: I OF DWELLINGS: WATER DISTRICT:
OWNER: `)' J - CU.(A PHONE: - -
vAk
MAILING ADDRESS: S 2-x.-0 31. •
CITY/STATE/ZIP: C's \\A 202-
CONTACT:
a. 2-CONTACT: J�Ir�. PHONE: - 113 - 31
SETBACKS: - FRONT: LEFT: RIGHT: REAR: •
PERMIT USE:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: -st \
CONTRACTOR: �T .'V\ SC- I C-� PHONE: c6 - 7 3 — 3
MAILING ADDRESS: W ralL S,j,
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
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R DOORS U.
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R
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:
******************************************************************************
LENDER/BOND HOLDER: .
ADDRESS
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