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1999, 06-25 Permit App: 99005725 MHProjcct Number: 99005725 Inv: 1 4 Application 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: MASSENGALE, ARNOLD L Address: 1222 S DISHMAN RD Setbacks: Front 20 Left: 80 - Right: 16 Rear: 37+ C - S - Z SPOKANE, WA 99206 Phone: (509) 465-1870 Date: 6/25/99 Page 1 of 2 Site Information: Plat Key: 002379 Name: SIESTA MOBILE PARK IST ADD District: F Parcel Number: 45203.0902 SiteAddress: 1222 S DISHMAN RD Spokane, WA USA 99206 Location:: SPO Zoning: UR -7 Urban Residential -7 Water District. 100 SPO CO WATER DIST#3A Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Owner: Name: MASSENGALE, ARNOLD L Address: 1222 S DISHMAN RD SPOKANE, WA 99206 Department BUILDING Comments: Review Site Plan Review BUILDING Plan Review 43113111 HEA THDISTRICT Leg CL. A I' a as: I a • 1711. Septic ,§ystem Ri Comments: Permits: , .„.. Hold: El Depth: 0 Right Of Way (ft): 60 Contractor: HOME BOYS Address. 14525 N NEWPORT HWY MEAD, WA 99021 Item Description STATE SURCHARGE INSPECTION FEE COUNTY SURCHARGE Manufactured Home Firm: HOME BOYS Phone: (509) 467-6291 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: 99005725 Inv: I Appliaation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: - Operator: JAS Printed By: JAS Print Date: 6/25/99 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Manufactured Home $126.50 $126.50 $0.00 5126.50 Date: 6/25/99 Page 2 of 2 Notes: 5126.50 $126.50 $0.00 $126.50 -r Ww o �g/14' 6i Ito ARDDSS: 1 - - ' D1 ZONE t.IA-',7 FOAD 1WIDT : /, D' j FROM—FLANK! G' M COMNTSI: r s ' ' 1' o 0, REVIErED t3 ni 74, 956 %.ep GI 443 ./ r -- -- r • M . . .. • • • i.7 8 eci5,-146 1M'1 -- r -8 00 8 1!-.5-L (LSI 0p t Vim.; 6