1998, 06-26 Permit App: 98005755 MHPROJECT NUMBER= 98005755
PROJECT NUMBER= 98005755
APPLICATION DATE= 06/26/98 PAGE= 01
APPLICATION DATE= 06/26/98 PAGE= 01
* * * * ** THIS IS NOT A PERMIT * * * * **
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18810 E ARBOR CIR
ADDRESS= GREENACRES WA 99016
PERMIT USE= EXISTING DOUBLE WIDE
PLAT # = 001407 PLAT NAME=
BLOCK= 6 LOT=
AREA= 00000000 F /A=
# OF BLDGS= 1 # DWELLINGS=
PARCEL # = 55173.2503
MANUFACTURED HOME (REPLACEMENT)
LABERRY MOBILE PARK ADD
3 ZONE= UR -7 DIST # = G
F WIDTH= 65 DEPTH= 105 R /W= 50
1 WATER DIST =
OWNER= MERRIMAN, A CHRISTINE
STREET= 2908 N PERRY ST
ADDRESS= SPOKANE WA 99207
PHONE= 509 484 3084
CONTACT NAME= CHRISTINE MERRIMAN PHONE NUMBER= 509 484 3084
BUILDING SETBACKS: FRONT= 30 LEFT= NA RIGHT= 6 REAR= 15+
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
PPR VAL: J SHATTO
HE L I
DATE: 06/26/98
IONAL WASTE WY Sewage system designed
IONAL WASTE WA for 3 bedrooms only. Gl-
COMMENTS:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MOBILE HOME PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR= OWNER
PHONE=
YR /MAKE= 1992 SKYLINE MODEL=
SERIAL # = WIDTH= 28 LENGTH= 56 HEIGHT= 00
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
126.50
126.50
QUANTITY FEE AMOUNT
2
Y
Y
AMOUNT PAID
100.00
22.00
4.50
AMOUNT OWING
.00 126.50
.00 126.50
PROJECT NUMBER= 98005755 APPLICATION - DATE= 06/26/98 PAGE= 02
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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APPLICATIOr !NFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or CCUPANT
Phone
Mailing address City, state
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Who should we contact regarding this project? Phone
Zip
What work is being done under this permit?
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Property size
Water district
Contractor
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Building height
Dimensions
576
# of stories
TOTAL SQUARE FOOTAGE
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WA State Contractor license #
Main floor area
Mailing address
2nd floor area
J°f //-
Unfinished basement area
fished basement area
Architect/Engineer
Garage area
Size of decks, etc.
?Xi7_
What is the heat source?
What is the cost of your project?
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Manufactured Home
Width:
Year:
Installer
GrJ eri
Sign
Length: LL_
What is the square footage of
the sign face?
How high is the sign?
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuei''Storage Tanks
Swimming Pool
(Circle one) Above - ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public /semi - private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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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