1995, 06-28 Permit App: 95004724 MHPROJECT NUMBER= 95004724 APP?,ICATZON DATE= 06/28/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL 'BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 612 S CARNAHAN RD PARCEL#= 35232.9060
ADDRESS= SPOKANE WA 99212
PERMIT USE= MANUFACTURED HOME
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR 3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= 92 DEPTH= 220 R/W= 40
# OF BLDGS= 3 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= HALL, SHARON
STREET= 612 S CARNAHAN RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 534 2112
CONTACT NAME= SHARONHALL PHONE NUMBER= 509 926 7066
BUILDING SETBACKS: FRONT= 50 LEFT= 40+ RIGHT= 25+ REAR= 100+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS: ',*
,r11 rA,,
WATER J_/_'i' Ati
1
HEALTHDIST NEW OR ADDITIONAL WASTE
COMMENTS:
eFF V90.5
PLANNING UNPLATTED/SEGREGATED PROPERTY
COMMENTS: - 6260
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1994
SERIAL#= WIDTH= 16 LENGTH= 52 HEIGHT= 12
MODEL= MARLETTE
PHONE=
PROJECT NUMBER= 95004724 APPLICATION
ITEM DESCRIPTION
DATE= 06/28/95 PAGE= 02
QUANTITY FEE AMOUNT
PLNG-PERMIT REVIEW; 119 Y 22.00
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 144.50 .00 144.50
144.50
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 144.50
******************************** THANK YOU ************************************
Vf
/Z
What is the JOB SITE address?
•
APPLICATION INFORMATION
Legal description as it appears on the property deed
N w z) .23 Tom. 4
WCc
OWNER or OCCUPANT
1ar6iA�l Sl
ASSESSOR'S tax parcel number?
Phone
S3
Mailing address City, state Zip
l
Who should we contact regard,i��pp '
this Kr?
Phone
What work is being done under t� permit?
Right of way wl4th,
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Mailing address
Main floor area
Unfinished basement area
Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Homme
Width:
Length:
Sign,
What is the square footage of
the sign face/
How high is the sign?
Year:
Make:
Installer
sir) /4.4 C Y1 fi�r
Wa State Contractor license #
Contractor
Wa State Contractor license #
Mailing address
17430S --.p 3Le
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
Fie[ 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.
N
w
D
.-•
O.
C11tH_ L'd
6 s..
MST. BDRM.
144
LIVING ROOM
zs-a�
for c
BDRM. 2
BDRM. 3
11'-i
�L-D.1.I
GAR 944 G -E:
X)( 1. d
i mC :'O
FFIK -rn
sn z
'mac z
CO
s
r
a
z