1996, 01-17 Permit App: 96000308 MHPROJECT NUMBER= 96000308 APPLICATION DATE= 01/17/96 PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 415 S CHRONICLE RD PARCEL#= 35232.9021
ADDRESS= SPOKANE WA 99212
PERMIT USE= NEW DOUBLE WIDE MOBILE HOME (REPLACEMENT)
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR -7 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= SCRIBNER, JOSEPH G & JANICE
STREET= 415 S CHRONICLE RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 535 9622
j 3S--93 /5 -
CONTACT NAME= JOE SCRIBNER PHONE NUMBER= 509 535 9622
BUILDING SETBACKS: FRONT= 40 LEFT= 21 RIGHT= 30 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HE6- _ � C-_ Z
ALTHDIJST NEW ,OR ADDITIONAL WASTE WATER .
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1995 CHAMPION MODEL=
SERIAL#=
ITEM DESCRIPTION
PHONE=
WIDTH= 26 LENGTH= 56 HEIGHT= 00
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 22.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
.00 126.50
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PkQJECT NUMBER= 96000308 APPLICATION DATE= 01/17/96 PAGE= 02
*************************************************************(***************
*
SITE NOTE: TOPIC = GENERAL DEPT = BUILDING /
*********************************************************** ******************
HOLD PERMITS IN WOODLAND TERRACE PER COUNTY ENG IEER
JEF 12/55/95 (ED PARRY)
(1)10,000 GALLON GASOLINE TANK, (2)8,000 GAL N GASOLINE
TANK, & (1)550 GALLON WASTE OIL TANK
*************************************************:*****************************
* SITE NOTE: TOPIC = LEGAL DEPT BUILDING
******************************************************************************
SITE ALSO INCLUDES PARCEL NO. 35231/79007, 9011(PTN)
9101, 9103, 9133, 9134
******************************************************************************
* SITE NOTE: TOPIC = GENERAL / DEPT = BUILDING *
************************************'******************************************
//
PARCEL CONSISTS OF LOTS 5 , AND 6
*******************************,'***********************************************
* SITE NOTE: TOPIC = CMPLIANCE DEPT = BUILDING *
*****************************j*************************************************
STOPWORK ORDER PL ED AT 4725 E. 3RD ON 02/23/94
NO PERMIT FOR RE OCATON.
INVESTIGATION F REQUIRED. FAITH HINTZ
STOPWORK ORDE PLACED AT 5024 E. 4TH ON 04/02/93
NO PERMIT FO." 2 STRUCTURES MOVED ONTO SITE WITH 2
ADDITIONS D AN 8 FOOT FENCE
INVESTIG''ION FEE REQUIRED.
PROCESSED BY: JULIE SHATTO
PRINTED B JULIE SHATTO
********/***********************
THANK YOU
************************************
APPLICATION INFORMATION
What is the JOB SITE address?
11 C
, -
Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
.\165/-.4 c c Awyi
OWNER or OCCUPAN
7
Phone
a
ing a
• •
ress
rty, sta e ip
Who should we contact regarding this project?
Phone
What work is being done under this permit?
KeT,L 10-1
Lone
Water district...
. .
Building
Inspector dtStriCt:.,:::.
Property size::
Building height
Hight ot way width
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Ivtailing address
Main floor area
Unfinished basement area
2nd floor area
Finished basement area
Architect/Engineer
'What is the heat source?
Garage area
1
Size of decks, etc.
What is the cost of your project?
anu, actUre o
e.
ign
Width:
D -(to
Length:
4,5
What is the square footage of
the sign face?
How high is the sign? '
Year:
T99'5
Make:
Installer
Contractor
Wa State Contractor license #
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
A State Contractor license #
VA State Contractor license #
Mailing address
Mailing address
FueIStoraeTanks
. .
SWirnniing:
(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
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