1996, 12-11 Permit App: 96010738 MHPROJECT NUMBER= 96010738 -
Zs
APPLICATION DATE= 12/11/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11123 E EMPIRE AVE
ADDRESS= SPOKANE WA 99206
PARCEL#= 45043.0713
PERMIT USE= REPLACE DOUBLE WIDE MANUFACTURED HOME
PLAT#= 001038
BLOCK= 4
AREA=
# OF BLDGS= 1
PLAT NAME=
LOT=
F/A=
# DWELLINGS=
OWNER= BROWN, KEN
STREET= 11123 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 = VERA
CONTACT NAME= KEN BROWN
BUILDING SETBACKS: FRONT= 35 LEFT= 26
PHONE=. 509 924 5905
PHONE NUMBER= 509 921 1687
RIGHT= 12 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
REVIEW REQUIREMENT
SETBACK REVIEW REQUIRED
HEALTHDIST NEW OR ADDITIONAL WASTE WATER cokc O r+— /YLI/$
liamousystamiogned
fire 3 hi Itt to
MOBILE HOME PERMIT
COMMENTS: 14/ ,9iGGA
CONTRACTOR= OWNER
YR/MAKE= 1996 FLEETWOOD MODEL=
SERIAL#=
ITEM DESCRIPTION
PHONE=
WIDTH= 26 LENGTH= 56 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM
126.50
126.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
QUANTITY FEE AMOUNT
2
Y
Y
100.00
4.50
22.00
AMOUNT PAID AMOUNT OWING
.00 126.50
.00 126.50
***********
�1 L
PROJECT NUMBER= 96010338 APPLICATION
DATE= 12/11/96
PAGE= 02
******************************** THANK YOU ************************************
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