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1997, 11-25 Permit App: 97010165 Triple Wide MHPROJECT NUMBER= 97010165 APPLICATION PROJECT NUMBER= 97010165 APPLICATION DATE= 11/25/97 DATE= 11/25/97 PAGE= 01 PAGE= 01 * * * * ** THIS IS NOT A PERMIT * * * * ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17306 E ALKI AVE ADDRESS= GREENACRES WA 99016 PERMIT USE= TRIPLE WIDE MOBILE HOME PLAT # = 005904 PLAT NAME= SP- BLOCK= LOT= AREA= 00029866 F /A= F # OF BLDGS= 1 # DWELLINGS= OWNER= STEVENS, TRACY & WENDY STREET= 17306 E ALKI AVE ADDRESS= GREENACRES WA 99016 CONTACT NAME= TRACY STEVENS BUILDING SETBACKS: FRONT= 27 LEFT= 68 PARCEL # = 55183.0729 1153 -97 1 ZONE= UR -3.5 DIST # = G WIDTH= 307 DEPTH= 144 R /W= 20 1 WATER DIST = PHONE= 509 921 7690 PHONE NUMBER= 509 921 7690 RIGHT= 114 REAR= 27 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEPARTMENT REVIEW REQUIREMENT BUILDING WATER & FIRE HOLD ON PLAT COMMENTS: BUILDING SETBACK REVIEW REQUIRED APPROVAL: C. FRAZIER ENGINEER APPROACH/ DRAINAGE/ FLOOD COMMENTS: DATE: 11/25/97 O lc_ aRtas /z51:97 HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER YR /MAKE= 1997 VALLEY SERIAL # = MOBILE HOME (111- /04# __,Ay( ~112 PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * ** PHONE= MODEL= WIDTH= 40 LENGTH= 68 HEIGHT= 10 PROJECT NUMBER= 97010165 APPLICATION DATE= 11/25/97 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 3 150.00 COUNTY SURCHARGE Y 33.00 STATE SURCHARGE Y 4.50 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 187.50 .00 187.50 187.50 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER .00 187.50 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** kROJECT NUMBER= 97010165 APPLICATION PROJECT NUMBER= 97010165 APPLICATION DATE= 11/25/97 DATE= 11/25/97 PAGE= 01 PAGE= 01 * * * * ** THIS IS NOT A PERMIT * * * * ** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17306 E ALKI AVE PARCEL # = 55183.0729 ADDRESS= GREENACRES WA 99016 PERMIT USE= TRIPLE WIDE MOBILE HOME PLAT # = BLOCK= AREA= # OF BLDGS= OWNER= STREET= ADDRESS= CONTACT NAME= BUILDING SETBAC 005904 PLAT NAME= SP- 1153 -97 LOT= 1 ZONE= UR -3.5 DIST # = G 00029866 F /A= F WIDTH= 307 DEPTH= 144 R /W= 20 1 # DWELLINGS= 1 WATER DIST = STEVENS, TRACY & WENDY 17306 E ALKI AVE GREENACRES WA 99016 PHONE= 509 921 7690 TRACY STEVENS PHONE NUMBER= 509 921 7690 KS: FRONT= 27 LEFT= 68 RIGHT= 114 REAR= 27 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * *k * * * * * * * * * * * * * ** DEPARTMENT REVIEW REQUIREMENT BUILDING WATER & FIRE HOLD ON PLAT COMMENTS: BUILDING SETBACK REVIEW REQUIRED APPROVAL: C. FRAZIER ENGINEER APPROACH/ DRAINAGE/ FLOOD COMMENTS: DATE: 11/25/97 AJA -133 O/c_ acRtuas ( /2s�97 HEALTHDIST NEW OR ADDITIONAL WASTE WATER Serape system designed COMMENTS: bedrooms only, * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** MOBILE HOME PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * ** CONTRACTOR= OWNER YR /MAKE= 1997 VALLEY SERIAL # = PHONE= MODEL= WIDTH= 40 LENGTH= 68 HEIGHT= 10 APPLICATION INFORMATION What is the JOB SITE address? t. ASSESSOR'S tax parcel number? LosgAl description a a ars on '-'s r/ qtr lift the perty deed $- l U icf,. ten,°_, f\ 0-Olo CiC) C: \ C , 19 apt 1 d 1 rF..,1 c rt i +r 1 We id/ OWNER or OCCUPANT Phone r Alt(' Cyr -.r''1(eS, /A (1(10 11:0 Mailing address City, state Zip Who should we contact regarding this project? Phone qi - ,-, What work is being done under this permit? one nspec or .is nc 'rope y size ' ig 0 way wi. a u Water district Building Building height # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. cl 7 What is the heat source? What is the cost of your project? Manufactured Home Sign Width: Length: (, jf c What is the square footage of the sign face? How high is the sign? Year: f Make: Instal er Instal er I Otto I ►,�1 ,, �.... Contractor Wa State Contractor license # / /t L_ LEM C 09 /) Q -- \J /'` G 1 ( Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address 1Cuci Storage Tanks 'Swimming Pool (Circle one) Above - ground Underground Size / gallons Private Contents of tank(s) Size / gallons Public /semi - private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address / Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. 41-le Plan ILjy. —= 9 INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines ❑ All existing & proposed buildings ❑ Underground utilities ❑ North arrow ❑ Septic tanks & wells Mi ■AIM,•Mw MIME l P.Mw NIIIIMEM w,;■ VMII NIMIOM■www■w ■■w■■IM ■ww■w■■_ w�■■�■ ®wwwwwwwwww■_. wwww mul s m rmmo�mwww�lwww "1 If IN ■wMa ES IVi �■wwwwwwwww ■ww■ww■■■wr�■■wwrr I ww■�wwww■■w ww11110 rommintommtm ■e =O■ wa IMIAM ■w ww■■MIw w!■ww1•310110))1110101.11E wra+r1rl~wMNIVI! \\ wwM\\ . 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II ■ WAIN III■ MI IN MI II l MIELIAMIEBIll ww�` ■wwwwMLA 113 ■wMIES•rrat ■Iwww III w■■ww■ri • ' • III wL■w wMw -■ww■ww■wwwwwww sI■ww■i■w■■ww ■■I ■M www MI 10 Inf Mill ■■ ISn1 -6 LTA Ma•iI.iui WWI EMI wI Grsii MIEM(SERAEll ___ El ____ NI l 111 111111 ■•i 1111 w • w ■wwwwM ww■wwwwwww IwW w€■MI EN wrikil wFRMIMMI lii. �■■��w�wwwww ■ 1 III t ILjy. —= 9 INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines ❑ All existing & proposed buildings ❑ Underground utilities ❑ North arrow ❑ Septic tanks & wells