1997, 04-25 Permit App: 97000665 MHPROJECT NUMBER= 97000665 APPLICATION
PROJECT NUMBER= 97000665 APPLICATION
DATE= 04/25/97
DATE= 04/25/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 804 N BOWMAN RD
ADDRESS= SPOKANE WA 99212
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT#= 003014
BLOCK= 4
AREA=
# OF BLDGS=
PARCEL#= 35131.1161
PLAT NAME= 1ST ADD TO EAST SPOKANE
LOT= 29 ZONE= UR -7 DIST#=
F/A= F WIDTH= 40 DEPTH=
# DWELLINGS= 1 WATER DIST =
OWNER= ALLWARDT, HAROLD
STREET= 1212 N GREENACRES RD
ADDRESS= GREENACRES WA 99016
H
126 R/W= 60
PHONE= 509 927 0341
CONTACT NAME= HAROLD ALLWARDT PHONE NUMBER= 509 927 0341
BUILDING SETBACKS: FRONT= 25 LEFT= 20+ RIGHT= 30 REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
COMMENTS:
BUILDING
APPROVAL:
HEALTHDIST
COMMENTS:
L & I ALTERATION PERMIT
SETBACK REVIEW REQUIRED
C. FRAZIER
INCREASE IN LOT COVERAGE
DATE: 02/10/97
0(C S• r[.
****************************** MOBILE HOME PERMIT ****************************
CONTRACTOR= OWNER
YR/MAKE= 1979 CONNOR
SERIAL#=
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 12 LENGTH= 60 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
1
50.00
4.50
11.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE
RECEIPT# PAYMENT AMOUNT
PROJECT NUMBER= 97000665 APPLICATION DATE= 04/25/97 PAGE= 02
04/25/97 00003304 65.50
TOTAL DUE= .00 TOTAL PAID= 65.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 65.50
65.50
65.50 .00
65.50 .00
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
ALL REQUIREMENTS OF WASHINGTON STATE DEPARTMENT OF LABOR &
INDUSTRIES ALTERATION PERMIT MUST BE MET PRIOR TO OCCUPANCY
OF MOBILE HOME.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: MARGARET ALDERMAN
******************************** THANK YOU ************************************
APR -25-1997 13:54
P.01
PROJECT NUMBER= 97000665.. APPLICATION ;DATE 02/10/97, PAGE= 01
****** THIS ISNOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A :PERMIT
SITE STREET= 804 N.BOWMAN RD PARCEL#= 35131.1161
ADDRESS= SPOKANE WA 99212
PERMIT USE= SINGLE WIDE MOBILE HOME
PLATO= 003014 PLAT NAME= 1ST ADD TO EAST SPOKANE
BLOCK= 4 LOT= 29 ZONE= UR -7 DIST#= H
AREA=, F/A= F WIDTH= 40 DEPTH= 126 R/W= 60
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= ALLWARDT, HAROLD
STREET= 1212 N GREENACRES RD
ADDRESS= GREENACRES WA 99016
PHONE= 509 927 0341
CONTACT NAME= HAROLD ALLWARDT PHONE ER= 509 927 0341
BUILDING SETBACKS: FRONT= 25 LEFT= 20+ RIGHT= 30 REAR= 20+
t******************r********** REVIEW INFORMATION *******,r*********************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L 6 I ALTERATION PERMIT
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER
HEALTHDIST INCREASE IN LOT COVERAGE
A COMMENTS : Cor, 9^.1 it+ P.
Z
DATE: 02/20/97
Zjl4�97L po55 i b /E
CONTRACTOR= OWNER
YR/MAKE= 1979 CONNOR
SERIAL#=
.lz ...
*** ** MOBILE H
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 12 LENGTH= 60 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
QUANTITY FEE AMOUNT
X1(4.50 00
11.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWI.NG
i
APR -25-1997 13:55
PERMIT NO.
Name
/1411IFi .1 1 Km Plies 'I I'1 IV. I±
E.O.'PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201
.DATE 1
P.03
2-
1f0`
AP KATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE ISP SAL FACILITIES
Addrea Q f
Address of - posed Site >,•
Type of Uar. ‘J-4)-/ LCA''
Number of Bedrooms.a. 2 ----ib
Capacity Camp Capacity Other
Water Suppl 2,aid (City. Well, Spring). Drywell
Is basement for building planned? •
one No?
Septic tank capacity •
Length of disposal field
7s a
gals Stylc of tank
S) Absorption Pits
(1) Show relative location of! Proposed hou■o, septic task,
disposal field, well. garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topo aphic details.
THE LOCATION Of t SWC
SEEM REPRESENTS) SY THE DEWING
IS NOT 10 dE CONSTRUED AS AN
rt Art / rX +virtKi els 114cvvr4M.
Final Inspect's,
Remarks:
TOTAL P.03