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1993, 09-24 Permit App: 93008832 MHPROJECT NUMBER= 93008832` -APPLICATION DATE= 09/24/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 710 S CUSTER ST PARCEL#= 35232.4501 ADDRESS= SPOKANE WA 99212 PERMIT USE= DOUBLE WIDE MOBILE HOME PLAT#= 000323 PLAT NAME= CARNHOPE ADD BLOCK= 16 LOT= ZONE= UR -3.5 DIST#= E AREA= 00000000 F/A= F WIDTH= 113 DEPTH= 100 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CARNHOPE OWNER= TREVINO, AL & LINDA STREET= 5210 E 5TH AVE ADDRESS= SPOKANE WA 99212 PHONE= 509 534 0276 CONTACT NAME= AL OR LINDA TREVINO PHONE NUMBER= 509 534 0276 BUILDING SETBACKS: FRONT= 25 LEFT= 9 RIGHT= 25 REAR= 47 ****************************** REVIEW INFORMATION ****************************+ DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER NEW COUNTY ROAD APPROACH q/, J N a'19 COMMENTS: 1�jd &414,�' ,6t1.,{ V HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: a��� 3.2 i y a Si i� 4.19 dl/3Q3 ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1993 MARLETTE MODEL= CREST MANOR SERIAL#= WIDTH= 28 LENGTH= 66 HEIGHT= 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 18.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING APPLICATION WORKSHEET General Information Job address -Owner he/D/4 7-PEO_/Xja Mailing a ress E 5-7k -City S Site Information State a/A Project Information rmi4 (add Parcel number Number cd: P.oididIh: 6 / Ire , '5 DweIIini L3utldin 2S' X la 77-25 Es- ,?1,)of Permit Use - e TCL 2E1) 71- 0 nt,E New Addition Remodel Change of use \ Spnnkler system CntiCa l Ma tenal Furnace efficency ota] window area •- % ot Iloor area Building Information Dwelling units Occupant load Budding height Stones Building dimensions Total square footage Req'd parking liandicap parking Spnnkler system CntiCa l Ma tenal Square footage breakdown Heat source Uncovered / covered deck Second floor Other Finished basement Floor Unfinished basement -Garage Door (u—value) Window Furnace efficency Contractor Information Heating and insulation information (R—values) Heat source Plat ceiling Vaulted ceiling Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace efficency ota] window area •- % ot Iloor area Building contractor Plumbing contractor License number Phone License number Nailing address Phone Mailing address City, state, zip City, state, zip Heating contractor Other / Lender License number Phone License number Phone Mailing address Mailing address City, state, zip City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 LSTATE OF WASHINGTON L/ Department of _ MANUFACTURED HOME ICEI1SMG APPLICATION RECORDER'S CLOCK FILED AT THE REQUEST OF: • NAME Please XX check one TITLE ELIMINATION (Complete all but section 3, below) TRANSFER IN LOCATION (Complete ALL sections below) REMOVAL FROM REAL PROPERTY (Complete all but section 4, below) ADDRESS 1 MANUFACTURED HOME TPO/PLATE NUMBER YEAR 1993 MAKE Marlett WIDTH/LENGTH 26'8" x 66'8" VEHICLE IDENTIFICATION NUMBER (VIN) H008649 2 LAND Attach a copy of the legal description of your land. It can be obtained from your County Assessor's office or it may be typed or printed on an Additional Attachment Form (TD -420-732). PROPERTY TAX PARCEL NUMBER 35232.4512 Manufactured home will be XX AFFIXED REMOVED 3 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME TITLE COMPANY/PHONE NUMBER SIGNATURE X DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. 4 BUILDING PERMIT OFFICE CERTIFICATION 1 ce y t at the m lufactured home has been affixed to the real property as described, or a building per it has been ' u d for this purpose and the attachment will be inspected upon completion. BLDG PERMIT N 93.8832 NA E � SIGNATURE/TITLE SPOKANE COUNTY X DIVISION OF BUILDING AND PLANN!NO BLDG PER OFFl E/PHONE>t (5b) l /� �'d^fp DATE ��,� i/ E , r/ YY 5 OWNER I ORMATION l FE COU TY # INC UN INC 1 1 1 # REGISTERED OWNERS # LEGAL OWNERS Provide the Washington Driver's License or I.D. card number (PIC) for each owner: FILING FEE NAME OF FIRST OWNER R Alberto Trevino TREVIA*550RC APPLICATION G NAME OF SECOND OWNER I s Linda M. Trevino TREVILM533DE MOBILE HOME FEES E E ADDRESS OF OWNER E 710 S Custer Road --OR-- if the owner is a business, ELIMINATION • D CITY Spokane STATE WA ZIP CODE 99212 provide the Unified Business Identifier (UBI), found on the business Registration & Licenses USE TAX NAME OF FIRST LEGAL OWNER* Washington Trust Bank Document. SUB -AGENT FEES EMAILING ADDRESS OF FIRST LEGAL OWNER N P 0 Box 2127 More than two owners or one lienholder? Please use attachment TOTAL FEES & TAX L L CITY STATE ZIP CODE form(s) #TD -420-732. E Spokane GTA 99210-2127 DEALER'S REPORT OF SALE R *SIGNATURE OF LEGAL OWNER • ACATES CONSE T FOR ELIMINATIO F TITLE/REMOVAL FROM REAL PROPERTY. I certify that this information is correct. The vehicle is clear of encumbrances except as shown. \ _ Anyone who knowingly mak'Bs • a material fact is guilty of a felony, and upon conviction may be punish ' . ' i i • - .00pand/or 10 years imprisonment WVCDtR NO DATE OF SALE PURCHASE PRICE (RCW 46.12.210). I DO S� yPENALTY OF PERJURY LAW THAT�I/WE ARE THE RE ��t''t''�" 1 a1�C HICLEAND THIS INFORMA- TTI IS ACCURATE: w e(s) 6 (% leo DEALER NAME TAX JURISDICTION/TAX RATE o• • • � -PA • DEALER'S AUTHORIZED SIGNATURE X X L r X 46f._aI={� USE TAX EXEMPT Sale to a Certified Tribal member on •� X �� � the reservation (attach notarized statement of delivery) NOTARY OR ENSE A ENT ..Tlti: ••��•�,••••♦? • -/ SUBSCRIBED TO AND SWORN BEFORE ME THIS 7 DAY OF , 19/ 6 Residing in (County) p L(%,/4�=�W r ' X / I✓� ♦, COUNTYAUDITOR/A� ' ` O�NSING OFFICE APPROVAL: (Not for use by Sub -Agents) I certify that the above application appears to have been completed correctly, lican has sufficient documentation to proceed with the recording of this form. NAME SIGNATURE I OPER MBER X DATE TD -420-729 MANUF HOME APPL (R/2/94)M Page 1 of 2 113/ c s -r-rk s aoAto‘ I XkcV oul4 SBEDR.0 1 —1 -I. ;7: ii !.t. .9 1 0 • - 714 - .7.0 2 rrl -:".7 - -I --. -r ------ ;_/.! .0 - 1 - *-- - ▪ rri Q(0.1 L EcILD 11 10 14-47sJ C6/170/TT L9ST tZe 60 4j T. 11 ta q/ , L3 C0 0 CIO-- tr. w w r � 1 LL `T 1 �_--.tom SPONANC COUNT?' COUNT HOUR( 1. APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION FEB - St= APPLICATION NO. C.'L ZO 2 -93 A COMPANION FILE NO. Business Phone: Home Phone: 535-2110 Applicant's Name: RoY L • & Barb Johnson Addtest South 718 Custer City: Spokane State: WA 2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is be•ing applied NOTE: if the property is being divided or changed • • • provide the New LEGAL DESCRIPTION below. Sec on: 23 Township 25 Range 43 within Spokane County, Washington. (A CAtNHOPE ADDITION SOUTH 22.19 FT OF LOT 1& 816NORTH 67.82'FT OF LOT B Zip: 99212 . continued co beck 3. Existing tax parcel number(s) 3 Krn 4. Total existing acreage 20. ZBZ— 5. New property size: (sq.ft. or acres) 0440e) ,- 6. Zoning: LL R-3•• S 7. Comprehensive Plan Category: fi r t a 8. Existing or intended use of property: S F2 continued7 back 9. Existing road frontage name: • r h Feet of Frontage /00 NOTE: Mininus,n Road Frontage must extend into or adjacent the property as required per ZONING. If access is by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR RECORDING Nvaiw entered as "Existing road frontage name" above. 10. I/ oY Lial iso.t. i nsm(print name), swear under penalty of perjury that the above responses are made cuthfully and to the best of my knowledge. I also agree to furnish any further documentadon that may be required by the Planning Department. I also understand that, should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might issue in reliance on this application. I also have provided written permission from both property owners, if this apphcation is for a "minor lot line adjustment." SIGNED: G/ 8= 93 Date STAFF ONLY THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED BELOW FOR SAID SUBDIVISION(S) SECTION PROPER . ESC• 1 A.D C jE..PUIZSUANT TO SPOKANE COUNTY THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: 1. The applicant shall comply with all requirements and regulations of the Spokane County Zoning Code. 2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. 3. If above legal is new, the applicant shall file SEGREGATION APPLICATION. with the County Assessor immediately after this application is approved. Not required when denied. 4. The applicant shall comply with the following additional conditions: .owdnued m beck 5. THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL BE APPLICABLE TO THE APPLICANT, OWNER, HEIRS,SUCCESSORS OR ASSIGNS. APPROVE IS �fADiOF 4orY , 19 �•'� RcpI # /y03 THIS CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA . 99260 (509)456-2205 THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION SNONAMC COUNTY cover MOUS[ APPLICATION FOR CERTIFICATE. OF EXEMPTION APPLICATION FEE —tat APPLICATION NO CE --202 -73 B COMPANION FILE NO. Business Phone:5d5-1140 1. Applicant's Name: Roy L. & Barb Johnson Home Phone: Address: South 718 Custer City: Spokane 2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is being applied: NOTE: if the property is being divided or changed - • • provide the New LEGAL DESCRIPTION below. Section: 23 Township 25 Range 43 within Spokane County, Washington. CAROI+OPF AnntrirrJ L 1 LZ ./3 IG. FM" 5 22_(B FT State:. WA Zip: 99212 continued en beck 3. Existing tax parcel number(s) 35232.4501 �t I /...93-2- 4. Total existing acreage 2O, 2132- S. New ply size. (sq.ft. or straw) U �. 6. Zoning: LAR 3, C 7. Comprehensive Plan Category: S. Existing or intended use of property: SFR ewer Feet of Frontage // it 9. NOTExisting road frontage name: 7 T A to or as per masa. U NOTE: Minbnac Road recorded riva eRo d Into n adfaeent prepay ad the AopToa Private Road, a copy of recorded Prlvau Road Earenwa tont( be provided wish � application RECORDING NUMBER enured {d as "Existing road frontase name above- • ..o Mtn h e 10. I la I i - \\Medrtra nand, swear under pccalty of the above responses are made truthfully and to the best of my knowledtte. I r furnish any further documentation that may be required by the Planning L - full understand that, should there be any vet liful tnistepreswtatimi oto ti mild issue disclosure on my part, Spokane County. may wlthdraw any approval in reliance on this application. I also have provided written permission from both property owners, if this application is for a "minor lot line adjustment" SIGNED: Date STAFF ONLY THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION' AS' INDICATED BELOW FOR SAID PROPER'EY plisprED A$O EPTJRSUANT TO SPOKANE COUNTY SUBDIVISIONS) SECTION 33 I:( GG(; t "� THIS CERTIFICATE OR.;EXEMPTIONSHALL 1313}; SUBJECT„ TO,THEFO FLLOWING , CONDITIONS AND/Or FINDINGS s t F& "x � ' t. t' • T''•- a s a Ions of theiS keno CouutytZoning Code.6 -+a "n 1. The applicant shall comply with� requirements and reguia Po 2. The applicant shall comply with all requirements of the e Spwater or apCi n yter Health thsystDistrict and/or Utilities ru Depanentregarding wastewater disposal andon-site ms. 3. If above legal is new, the applicant shall file SEGREGATION APPLICATION with the County Assessor immediately after this application is approved. Not required when denied. 4. The applicant shall comply with the following additional conditions: .maimed co beck S. THIS CERTIFICATE OF EXEMPTION IS FOR AND �SHALLCRUNSUCCESSORS S 0 ASSIGNS.THE ,AND SHALL BE APPLICABLE TO THE APPLICANT, OWNER,.. � 7i9 DAY OF :. /t1/J!'I / 19 n�PPROVED THIS DA ,ecp/ >t///03 THIS CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509)456-2205 THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PFRIVIIT APPLICATION