1993, 03-23 Permit App 93001698 MHPROJECT NUMBER= 93001698 APPLICATION DATE= 03/23/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16615 E BROADWAY AVE PARCEL#= 45131.9004 & 9005
ADDRESS= VERADALE WA 99037
PERMIT USE= INSTALL CLASS A MOBILE HOME
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= 1 ZONE= UR-3.5 DIST#= F
AREA= F/A= F WIDTH= 185 DEPTH= 520 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VE-44
OWNER= PINCHE, GRANT
STREET= 16615 E BROADWAY AVE
ADDRESS= VERADALE WA 99037
PHONE= 509 238 4038
CONTACT NAME= GRANT PICHE PHONE NUMBER= 509 238 4038
BUILDING SETBACKS: FRONT= 75 LEFT= 54 RIGHT= 40 REAR= 417
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
�• ENGINEER
COMMENTS:
0.0 p)\.A:Lb. -p(okAA
NEW COUNTY ROAD APPROACH
, HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY
COMMENTS:
1 1 a MtivQ Kj 5- • t
e i o r -- 93 43
3 /7
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
PHONE=
YR/MAKE= 1992 LAMPLIGHTER MODEL=
SERIAL#= WIDTH= 28 LENGTH= 66 HEIGHT= 10
PROJECT NUMBER= 93001698 APPLICATION DATE= 03/23/93 PAGE= 02
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
MOBILE HOME PMT 122.50 .00 122.50
122.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 122.50
******************************** THANK YOU ************************************
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
l INFORMATION WORKSHEET
)(PARCEL NUMBER: 4 5 r 3 1 , D D 4 4513 L ,9 dD 5
v' STREET ADDRESS: E 16 6) 5 B RQ i3 b W Ay
CITY/STATE/ZIP: Po ) f\ L i W ,ick _ q 2_1 (o
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: • F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS:
OWNER: C---) /? AN T
#` OF DWELLINGS:
WATER DISTRICT:
PHONE: Ocj-
MAILING ADDRESS: R -V d x Z 4 ] - A
CITY/STATE/ZIP: M E7\ / \AJr4 9 o'Z 1
CONTACT: 1` Pt
PHONE: So - - 4- o 3 g'
SETBACKS : - FRONT: 7'' LEFT: 5 1 v RIGHT: 40 REAR: 417
7
PERMIT USE:
******************************************************************************
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 (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
CONTACT PHONE
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CNS gYSfEM AOjHE pFFIC: SPECIFICATIONS
h0 STA«vOU ?° U -00N. —
l IN USS — ——TY?E�IF� '4GE SYSTEM: E:
FTyOs PPP 3�1E PiPR,OR ks LINEAL OR 4 MARE FOOTAGE:
R.�.�� SO 5
Z Ai 3241560 i TRENCH IH: - --- - _
V DEPTH FPr'94 nRl"�N',V GROUND�SU/ iFACE TO
a OF SEWAGE SIYSTEN: Y
Y J OTHER: Q
V
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54f 28 X (olo DOOBLE WIDE
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3 feed
CAGN LING
16 /
BROA DWAY
.cmtin.a on back
5. THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL
y
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CAGN LING
16 /
BROA DWAY
.cmtin.a on back
5. THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL