1987, 11-04 Permit App: 87003770 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANIE, WASHINGTON 99260
(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 agent to 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 specified herein or 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
PROJECT NUMBER= £37003770 DATE t'1,/04/87 PAGE= Of
APPLICATION
***]E************X•**3E******3 ****** APPLICATION '3('#343*****•)f •*3E***********•k***fi••***
SITE STREET= 7002 E 5TH AVE' PARCEL 24531-2805
ADDRESS= SPOKANE. WA 99212
PERMIT' USE= REPLACE SINGLE WIDE W/DOUBLE" WIDE MOBILE HOME
PLATO=: 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK= 4 LOT= ZONE== RMH DIST*E
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 125 R/W= 60
OF BLDGS= 0 DWEL_LINGS=. 1
OWNER= WHEELER, RONALD
STREET= 7002 E STH AVE
ADDRESS= SPOKANE WA 99212
PHONE= 509 922 3284
CONTACT NAME= RONAL_ID WHEELER PHONE NUMBE::R== 509 922 3284
BUILDING SETBACKS: FRONT= LEFT= RIGHT= REAR==
****3*************.3*..3*.****•*******
DEPARTMENT NAME
ENVIRONMENTAL HEALTH
REVIEW INFORMATION
REVIEW COMMENTS
3(•**•3*****•*•3(.3(.3(..3** X.M..***•*3E •3*****
DATE
IN/OUT INITIALS
NEW OR ADDITIONAL WASTE WATER
871104 GMW
***3@************************** MOBILE HOME PERMIT ***********3(****3t•*********
CONTRACTOR= OWNER
PHONE=
YR/MAKE= 1987 EBARRINGTON MODEL_-
SERIALO== WIDTH= 28 LENGTH= 66 HEIGHT= 10
PROCESSED BY : WENDEL, GLORIA
PRINTED BY: WENDEL,•GLORIA
********************************• THANK YOU *********************************
4 . _ -tr
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* INFORMATION WORKSHEET
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x
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*. CITY/STATE/ZIP: *
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* CONTACT: PHONE:
* SETBACKS — FRONT: 30 LEFT: 10 RIGHT: i1 REAR: 0 *
* p
* PERMIT USE: \\t1 H *
* PARCEL NUMBER: 2H 5 31 — --250) S c 2c/06
* +-t►
* STREET ADDRESS: —200-1 E.: 5
* CITY/STATE/ZIP: S�OtUK1il
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* _ AA ,, r
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* SUBDIVISION: 1 wprc 14ettAi A ..
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* BLOCK: %LOT: 0-4-12 ZONE: DISTRICT:
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* LOT AREA: F/A: WIDTH: 0(40 DEPTH:12S R/W: &E
*
* # OF BUILDINGS:: # OF DWELLINGS:
1\
* OWNER: Otnalu1 Lhteel(( e v- PHONE: 514 —42Z— 32K`'(
* MAILING ADDRESS: b 100 Z g4A1
*
* x
x*x*xxxxxxx******xt*x*x*****x******zxxx*****x**********x************x***
* BUILDING INFORMATION
*
x
* CONTRACTOR LICENSE NO.:
* *
* 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. *
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*REGUIRED PARKING: # HANDICAP: SEWER:(Y/N):_ HYDRANT: *
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**********************************a'*******O4n ****4444***********************
MOBILE (CNE !NFC(2NATICN
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* CONTR LIC#: *
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* CONTRACTOR:__ v h Wk_ _ PHCNE:501- *
* MAILING ACCRESS: E So2c7 _Siam e
* PREVICLS ADDRESS:
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* LOCATION: PARCEL NLNBER:*
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* STREET:
* *
* CITY/STATE/ZIP:_
MAKE: _ ICL^0--------- NCDEL=-- L6�23i�-------
SEPIALk: -7613 l.IOTH:Iz LENGIF: 4_
•
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RELCCATICN INFCRNATICN
CONTP LICK:
CONTRACTOR'
MAILING ADDRESS:
PREVIOUS ACDRESS:
LCCATICN:___—_ PARCEL NUMBER:
STREET:
CITY/STATE/ZIP:
_ FFCNE:_—_-_---
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* SIGN INFCRNATICN
* CONTR LIG#:
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* CONTRACTOR:
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* MAILING ADDRESS: *
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* SQUARE FOOTAGE:___ POLE (EIGHT:___
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FFCNE:
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* DERCLIIICN INFCRNATICN *
* CONTR LICH: *
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* CONTRACTOR: FHCNE: *
* MAILING ADDRESS:__:
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* BUILCING SQUARE FOCTAGE:
*
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NUMBER OF BUILCING$:—
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***********************************************************************#******
*444*********4444t4i44444444444444,6**s********************************tea****
* PLUMBING INFCRMATION *
* CONTR LIC#:------
PFCNE:____ __-
* CONTRACTOR: -- **
4
* MAILING ACCFESS: ** *
4*****44444*4444*444*****4***************4***************4***********-**4******
* MECFANICAL INFORMATION *
4
* CONTR LIC .4:
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* CONTRACTOR: FFC'NE: *
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* MAILING ACCFESS:
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* ELECTRIC:__ GAS:___ CII:___ COAL:_- MGGD:___ SCLAR:___ FE.Ai FUNP:___ *
*
**44*******444444X444*********************************4*444*44*44*4***444*****
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1.
MECHANICAL FEES PLUMBING FEES
ITEM DESCRIPTION
NLMBER CF
PROCESSING FEE YES OP NG
DUCTWORK SYSTEM - -
wOCCSTCVE/INSERT
GAS WATER HEATER
GAS NTG EQUIPC10C,000>BTU
GAS hTG EQUIP+100.000 BTU
GAS PIPING - # OF UNITS
HEATPUMP 1-10DM ETU
HEATPUMP 101-500M BTU
HEATPUMP 501-1,000M BTU
HEATPUMP 1,001-17508 BTU
HEATPUMP +1.750M BTU
REFRIG 1-100M BTU
REFRIG 101-500M BTU
REFRIG 501-1,000M BTU
EFRIG 1,001-1,750M BTU
EFRIG . +1.750M BTU _
Apt CONDITIONER 0-3 HP
AkR CONDITICNER 3-15 EP
AI\\ CONDITIONER 15-3C HP
AIR',CCNC.ITICNER 30-50 HP
AIR ' 0NOITI-GNER +50 HP
VENTILATING FANS
EVAPORATIVE COOLERS
HOODS
CLOTFES DRYER
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
AIR HANDLER 1-10000 CFM
AIR HANDLER 10000+ CFM
ITEM DESCRIPTION
PROCESSING FEE
TOILETS
SINKS
SHOWERS
BATH TUBS
KITCHEN SINKS
DISH WASHERS
GARBAGE OISPCSAL
CLOTHES HASHER
UTILITY SINKS
ELECTRIC. MATER HEATERS
FLOOR DRAINS
FLOCK SINKS
BAR SINKS
ROOF CRAINS
LAWN SPRINKLER
SEWAGE EJECTOR
WATER SOFTENER
URNAL
DRINKING FOUNTIAN
NUMBER OF
YES OR NO
1
1
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