1997, 10-22 Permit App: 97008724 MHPROJECT NUMBER= 97008724
PROJECT NUMBER= 97008724
APPLICATION
APPLICATION
DATE= 10/22/97
DATE= 10/22/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19115 E BUCKEYE AVE
ADDRESS= GREENACRES WA 99016
PARCEL#= 55082.0118
PERMIT USE= DOUBLE WIDE MANUFACTURED HOME REPLACEMENT
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
CONVRT
00000005
1 #
PLAT NAME= CONVERTED CNTY DATA
LOT= ZONE= AGRI DIST#=
F/A= A WIDTH= 201 DEPTH=
DWELLINGS= 1 WATER DIST =
OWNER= HANSON, HAROLD
STREET= 19115 E BUCKEYE AVE
ADDRESS= GREENACRES WA 99016
278 R/W=
PHONE= 509 926 1535
CONTACT NAME= SORAYA HANSON PHONE NUMBER= 509 891 7971
BUILDING SETBACKS: FRONT= 60 LEFT= 50 RIGHT= 50+ REAR= 50+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING L & I PERMIT REQUIRED
COMMENTS:
BUILDING
COMMENTS:
SETBACK REVIEW REQUIRED
4,3
1=
C } t-TTa c [—Cc=r��
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS : ,vy'i;,'Y1 L 1.-q4,<„ �f
L_12-- 4\ 14c RED
1 '/3c77r _]
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 76/FOURSEASON MODEL=
SERIAL#= WIDTH= 24 LENGTH= 68 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
QUANTITY FEE AMOUNT
Y
Y
2
100.00
22.00
4.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 97008724 APPLICATION DATE= 10/22/97 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 126.50
******************************** THANK YOU ************************************
/ 3
( 2/347
-
ro 4.1: /rSrZ
cs
/q//3-
-Spa•r. • r:
-C71
ZONE LAJz
ROAD WIDTH Sc)
FRONT_FLANKING
COMMENTS
REVIEWED
7r4d/- /7 or
,r? ,„-c" c, r
7 We r" )::7u cl; rs icA
aft
low gagclr. rt.
/1?0,6%/c ilorne
A' I
•50 / /7.-
K ey/z? ,4:7J .
s7t,b11,,,birct ivy
SPOKANE REGIONAL HEALTH Ois I
LANCE HALSEY
ENVIRONMENTAL HEALTH DIVISION
1101 West College Avenue
Spokane, WA 99201-2095
(509) 324-1579
Fax: (509) 324-1567
lhalsey@spokanecounty.org
ri4e
'01,61( tilid W 71-A tti
Si rt W Id -
e) ?ciroi,
Tv% e /1C4)IN
/5/07 -
COUNTY HEALTH DIS
AL HEALTH DIV
•
AT
in plat or sect
(felt—tip pen or
(if available). a
ual location of s
tasewage facilities, proper
ble), driveway, and road
l
own fixed surface structu
RICT
SION APPL.#
on, townahlp, and range and road)
equal) with a straight edge. Plan
its position occurs on the prop—
ptic tank, draraf1e1d lines,
y lines closes o drainfield,
rontage. ep c tank access
e.
y.41404`a
FINAL INSPECT ON'MADE BY (t_
( ISPECTOR'S NAME
1 (
• E, )9/15 .bu
COMMENTS:
1/83
't A
e.ye_
TOTAL P.01