1999, 08-30 Permit App: 99008062 MHProject Number: 99008062
Inv: I
Application
Date: 8/30/99 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: ROCKSTROM, WAYNE L
Address: 1208 S DISHMAN RD
Setbacks: Front 25 Left: 10 Right: 40 Rear: 75 C 7 S - Z SPOKANE, WA 99206-3114
Phone: (509) 921-7677
Site information:
Plat Key: 002379 Name: SIESTA MOBILE PARK 1ST ADD District: F
Parcel Number: 45203.0604
SiteAddress: 1208 S DISHMAN RD
Spokane, WA USA 99206
Location:: SPO
Zoning: UR -7
Water District:
Urban Residential -7
Owner: Name: ROCKSTROM, WAYNE L
Address: 1208 S DISHMAN RD
SPOKANE, WA 99206-3114
Area: 7,997 Sq Ft . Width: 0 Depth: 0 Right Of Way, (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
De mrtment
BUILDING
Review
Site Plan Review
Cala CtilOW:A/12—
Comments: CL4e.,_tr
NI S..S gaubtivi
Conunents: ?)/tici5
BUILDING Plan Review
HEALTHDISTRICT 5e$ltstflirRthiwd
for bedrooms only.
Comments:
r5oiy/n?- 11/21
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
STATE SURCHARGE
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 Y OR BLANK
2 SECTIONS
1 Y OR BLANK
Fee Amount
$4.50
$100.00
$22.00
Permit Total Fees: $126.50
Project Number: 99008062 Inv: I.
Application
Date: 8/30/99 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Operator: RMB
Permit Type
Manufactured Home
Printed By: RMB Print Date: 8/30/99
Fee Amount Invoice Amount Amount Paid Amount Owing
$126.50 $126.50 $0.00 $126.50
$126.50 $126.50
Notes:
, >
$0.00 $126.50
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APPLICATION INFORMATION
'What is the JOB SITE address?//�� fi �1/^� ASSESSORS tax parcel number?r
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Legal description as it appears on the property deed .- c .! t o <u C
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OWNER or OCCUPANT ••:• ' -' Phone o 0 n I I
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Mailing address • . City, state a c9 1 Zip
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Who should we contact regarding this project? Phone N ill ry
What work is being done under this permit? = :: '' 1 1
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Call 0 :pi t• ofd Moine?. i- JCy7T•N6 l�r✓W :lfON'rt_,•� I
Lone
Inspector district
Property size, r, ;;., ,cs ui
r.1
Hight of way width
Water district
Building
Building height
# of stones
Contractor
Dimensions
i
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign::.:
Width:
X1`7 /
r.X /
Length:
'18/
Whet is the square footage of
the sign face]
How high is the sign?
Year:
Z006
Make:
CA rctk)a 6
Installer
Mr.. gS
Contractor
Wa State Contractor license #
We State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
_ _
Paint booth _ Fire Alarm _ Fireworks display
VALUE •
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IFuue! Storage Tanks ISwimming''Pool
(Circle one) Above -ground Underground Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license # WA State Contractor license #
Mailing address Mailing address
MPL
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, drive -Ways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
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❑ Underground utilities
❑ North arrow
O Septic tanks & wells