HomeMy WebLinkAbout1995, 04-28 Permit App: 95002753 MHPROJECT NUMBER= 95002753
APPLICAUON
DATE= 04/28/95 PAGE= 01
****** THIS IS NOT.A PERMIT ******
PENALTIES WILL BE ASSESSED FOTI COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 10714 E EMPIRE AVE
ADDRESS= SPOKANE WA 99206
PARCEL#= 45043.0613
PERMIT USE= REPLACE SINGLE WIDE MOBILE HOME / NEW
PLAT#= 001038 PLAT NAME=
BLOCK= 8 LOT=
AREA= 00000000 F/A=
# OF BLDGS.= # DWELLINGS=
OWNER= BECK, ROBERT
STREET= 9711 E EMPIRE AVE
ADDRESS= SPOKANE WA 99206
GRANDVIEW ACRES
6 ZONE= UR 3.5 DIST#= H
F WIDTH= 64 DEPTH= 320 R/W= 40
1 WATER DIST =
CONTACT NAME= GREG BECK
BUILDING SETBACKS: FRONT= 35 LEFT= 25
******************************
DEPARTMENT
BUILDING
COMMENTS:
PHONE= 509 922 8944
PHONE NUMBER= 509 922 8944
RIGHT= 25 REAR= 200
REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
SETBACK REVIEW REQUIRED
s
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1994 REDMAN
SERIAL#=
ITEM DESCRIPTION
MODEL=
WIDTH= 14
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM
63.50
63.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
PHONE=
LENGTH= 70 HEIGHT= 10
QUANTITY
1
Y
Y
AMOUNT PAID
.00
.00
FEE AMOUNT
50.00
4.50
9.00
AMOUNT OWING
63.50
63.50
PROJECT NUMBER= 95002753 APPLICATION DATE= 04/28795 ''PAGE= 02
******************************** THANK YOUR************************************
APPLICATION INFORMATION
What is the JOB SITE address? • ASSESSOR'S tax parcel number'?
/d 7/6/ £ t-1,4/ i CZ—
Legal description as it appears o the property deed
OWNER or OCCUPANT
y1D e r4- So A n ✓I q G ll
Phone
9�ag'//
99zo c,
Mailing address •
91/1)-�-�
Who should we contactregarding is project?
City, state
qW
Zip
What wok is being done under this permit?
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Idt
Phone
9;7 zs----
Contract
WAState
.i gal
cense #
Building, height
\
Dimensions
Main floor area .
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Mailing address„ t
t: r.
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?
Manufactu
reittiltinW
Sign
Width:
Year:
Installer
Length::•
Make;,
Wa State Contractor license #
What is the square footage of
the sign face?
Contractor
Wa State Contractor license #
How high is the sign?
Mailing address
I 11
Mailing address
Relocation
Fire<Safetz
Previous address
Fire Sprinkler _
Tent
Paint booth _ Fire Alarm _ ' Fireworks display
VALUE
Contractor
WA State Contractor license #
it
Contractor ;
WA State Contractor license #
Mailing address
EHi •
•
Mailing address
Fuel
torage 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 APPLICABLEINFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
cocu
m
11\N
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
D Underground utilities
D North arrow
O Septic tanks & wells