1988, 07-11 Permit App: 88001904 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
'certify that l have examined this permit and state that the information contained In It and submitted by me or my agent to compile saidpermitls true and correct.In
addition, I have read and understand the INSPECTION REOUIREMENTS/NOTICE provisions included herein and agree to complywithsame. All provisionsof laws
and ordinances governing this type of work will be compiled with whether specified herein or not. l 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 B warranty Of conformance with the provisions of any state Or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT flATE
PROJECT NUMBER= 89001904
3h##+f 3E3M1 3F#k#k#####341f 31 Yr #-0F IF*IF iF 3f iF IF### AI'PL ICT ID
SITE STREET= 7112 E 9TH AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= :DOUBLE WIDE MOBILE HOME:
DATE= 07/11/,38 PAGE= 01
AF'PL:I:CATION
1f#)b)F 3F iE 3E**X
?4534....0707
PLATrr: 002955 PLAT NAME= WOODLAWN F'AFRI(
BLOCK= 7 LOT= 9010 ZONE= AGSL1B DIST,9=
AREA= 00000000 F/A= F WIDTH== 100 DEPTH= 145 R/W= 45
OF BLDGS= 1 ;: DWELLINGS= 1
OWNER= ROGI:RS, EARL.
STREET= 7112 E 9TH AVE
ADDRESS== SPOKANE WA 99206
PHONE== 509 914 0447
CONTACT NAME= EAR'... ROGERS PHONE NUMBER- .`.i 7 924 0447
BUILDING SETBACKS: FRONT= /LEFT= 25 RIGHT== 24 REE:A
##N###d#)E#4)E)E###)E#44044 4444if 1E REVIEW INFORMATION 4)E4)E)E####)F3E#####•
.
DATE
REVIEW COMMENTS IN/OL]T INITIALS
IQ DEPARTMENT NAME
COUNTY ENGINEER
, ENVIRONMENTAL HE
P COUNTY PLANNING
1131-4*********
.�) APF"I'O t-Iltzmisn 8807 1 DMS
WASTE. WATER
•
8.0-11
UNPLATTIi::D/SEGRE:GATED PROPERTY 0580711 DMS
aytfrci,cred, y 2 -e-..... -74/.
��{�Q_(i/Z ss
_u �r 'OMI::: PERMIT 4...#4.x##)E)F#####fE.#.4##3E#4#.44
yp�a,w
CONTIACTOR:::: OWNER
YR/MAKE= 1977 TAMARACK
SERIAL:==
PROCESSED BY SILVA, DAVID
PRINTED BY: S:LI_VA, DAVID
PHONE= or
MODEL=
WIDTH= 24 LENGTH= 52 HEIGHT= 10
IF 1[ 444#3E)EiE)E4)E#443F443E4.44.4#4.Y..4#4444 THANK YOU
44)E#)E.E)E#)E######K....... 3E 4### 4##443F)E*4
INFORMATION WORKSHEET
PARCEL NUMBER: b 3- 3/-O77
STREET ADDRESS: 7/72 &• 9" i'
CITY/STATE/ZIP: oiC/ .1620 -4 9'5?a,%„Z
SUBDIVISION:
BLOCK: 7 LOT:7540 540 ZONE: DISTRICT :t294JCL/fit 02
LOT AREA: F/ A: WIDTH: I,o DEPTH: /4'S R/W: 4/(r-
# OF BUILDINGS: q OF DWELLINGS: WATER DISTRICT:f ST
OWNER:
,g -
MAILING ADDRESS: )%/ p2 E 9
PHONE: ¶2 t7t pC/z /
CITY/STATE/ZIP: k'4J'J f /1/14 g/i
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
rrxxxxxxxxxrxxxxxrxrrxxxxxxxxxrxxxxxxrxrrxrrxxxxxxxrxxxxrxxrxrxxxxxxxxxxxxxxxx
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
REQUIRED PARKING:
(WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT:
CONTRACTOR LIC#:
CONTRACTOR:
PLUMBING INFORMATION
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: POINST: 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
WOODSTOVE/INSERT SINKS
GAS WATER HEATER SHOWERS
GAS HTG EQUIP(100,000)BTU BATH TUBS
GAS HTG EQUIP +100,000 KITCHEN SINKS
GAS PIPING - # OF UNITS 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
RANGE
GAS LOG
UNLISTED GAS APPLIANCE
Ara naanr.va 1-1 nnnn rvrn
6
v