1998, 05-08 Permit App: 98003823 MHPROJECT NUMBER= 98003823 APPLICATION
PROJECT NUMBER= 98003823 APPLICATION
DATE= 05/08/98
DATE= 05/08/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1106 N BLAKE RD PARCEL#= 45151.1108
ADDRESS= SPOKANE RD 99216
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 005810 PLAT NAME= SP -1057-96
BLOCK= LOT= ZONE= UR -3.5 DIST#= F
AREA= 00000002 F/A= F WIDTH=. DEPTH= .se R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATEP) /T = VERA 14:11,
OWNER= TILTON, AL & DANA
STREET= 1106 N BLAKE RD
ADDRESS= SPOKANE RD 99216
PHO E_
CONTACT NAME= AL OR DANA TILTON PHONE NUMBER=
BUILDING SETBACKS: FRONT=0 LEFT= O RIGHT= Al REAR= ¢c2p�
REVIEW INFORMATION
************************
******************+**********
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED�`
COMMENTS:
0.K -.\'44,--ECA9- et'O
516-19,g
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
2M 402
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
Sewage system designed
for 3 bedrooms only.
()I . C
Vs/98
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=
YR/MAKE= 1998 OAKWOOD MODEL= CLASSIC
SERIAL#= WIDTH= 28 LENGTH= 34 HEIGHT= 00
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
2
100.00
22.00
4.50
PROJECT NUMBER= 98003823
PERMIT TYPE
APPLICATION
FEE AMOUNT AMOUNT PAID
DATE= 05/08/98
AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 126.50
PAGE= 02
******************************** THANK YOU ************************************
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This site plan Is being submitted for the purpose of
obtaining a building permit and Is a true and correct
a OBIS . e . dill . .- . . . . ... .
line
ha
bodi
ens .ns. curb lines. structures and easements
been Id t ntified, Also in cate are wetlands,
of wo =r, steep slop orpth vMtical areas.
Signed:
Date. t'/0,979ff
ADDRESS !v • I I D(0 ENIAcKE r�
ZONE Lt-Iz= 3e5
ROADWrilan ,_a e .
F
COMME
REVIEW