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2002, 12-30 Permit App: 02011256 MHProject Number: 02011256 Inv: 1 L. Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/30/211112 Page 1 of 2 Project Information: ....................................................................... ....................................................................... Permit Use: SINGLE WIDE MANUFACTURED HOME Setbacks: Front 230 Left: 50+ Right: 20 Rear: 50+ Site Information: ..................................................... .................................................... Plat Key: 006341 Name: SP -1157-97 Contact: EXCELL CONSTRUCTION Address: 14313 E TRENT AVE C - S - Z: SPOKANE, WA 99216 Phone: (509) 928-0600 Group Name: Project Name: District: H Parcel Number: 45022.2908 Block: SiteAddress: 4428 N EVERGREEN RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 3.84 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 ReviewInformation::...................................._.........__................. Lot: B Owner: Name: CURRY, ROBERT G/JACOBS, CO Address: 14313 E TRENT AVE SPOKANE, WA 99216 Hold: ❑ Depth: 0 Right Of Way (ft): 60 Review Site Plan Review Released By Plan Review Released By. Special Inspections Released -By: /62 Approach / Drainage Septic System Review Released 133 ‘24,04:1 210:4-414 .Released<BY: !0 30 Operator: CKF Printed By: CKF Print Date: 12/30/2002 Project Number: 02011256 Inv: 1 Permits: Application Date: 12/30/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: EXCELL CONSTRUCTION Address: 14313 E TRENT AVE SPOKANE, WA 99206 Item Description INSPECTION FEE COUNTY SURCHARGE Notes: .; Payment Summary:::; :................. Permit Type Manufactured Horne Manufactured Home Firm: GORDON CURRY/EXCELL CONS Phone: (509) 928-0600 Units Unit Desc 1 SECTIONS 1 Y OR BLANK Permit Total Fees: Fee Amount $50.00 $11.00 $61.00 Fee Amount Invoice Amount Amount Paid Amount Owing $61.00 $61.00 $0.00 $61.00 $61.00 $61.00 $0.00 $61.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions ()flaws and/or regulations governing this type of work will be complied with. Subseyuentissuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CKF Printed By: CKF Print Date: 12/30/2002 Projedi'.N411t0.i!: "•-•'-:0201/256 •• • •• •• • ',•••••••:,,,' • • • • • • .• • • • • _ • Inv:/ SPO REGIONAL, HEA CO BLDG CODES Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 9.6 K a 001/001 Date: 12/30/2002 Page 1 of 2 Project Information: Permit Use: SINGLE WIDE MANUFACTURED HOME Contact: EXCELPCONSTRUCTIO N Address: 14313 E TRENT AVE C - S - Z: SPOKANE,WA 99216 Setbacks: Front 230 Left: 50+ Right: 20 Rear: 50+ Phone: (509) 928-0600 Group Name: Project Name: Site Information: Plat Key: 006341 Name: SP -1157-97 Ditrict Parcel Number: 45022.2908 Block: ' Lot: B SiteAddress: 4428 N EVERGREEN RD SPOKANE, WA USA 00000 Location:: SPO ' Zoning: UR -3.51 Urban Residential 15 Water District: Area: 3.84 ACI -CN Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review --• Owner: Name: CURRY, ROBERT G/JACOBS, CO Address: 14313 E TRENT AVE SPOKANE, WA 99216 Hold: Eli Depth: 0 Right Of Way (ft): 60 Plan Review Special Inspections , 1 Ralqage:ci By I, 1- OfJE - Approach / Drainage Septic System Rjesystejrsj ;0, ----- - bedrooms, or gallons par dny. installation has SFIH D approval. Operator: CKF Printed By:. CKF Print Date: 12/30/2002 _ ' 7""0,22,2908 ADDRESS Lt1-I2.-e ever e_ ZONE - 5. -4 - ROAD tai FI)Tit ERON12 3 FLANKING'' COMMENTS REVIEWED BY e1 --ki - This s- :te ptin is being submitted for the purpose of - _ obtaining a building permit and is a true and correct - - representation of the -proposal. All known property- -- -. iines/dimensions, curb tines, structures and easements-.. have been idensifi :.�. • in cated are w z - i iodies of wet: AM- - slopes or .,,. - -ntica, p gip. 9/ Signed: Date: 4 .. //-'"/ 5 i•-"i//e.:C.,* j� eA" frOqife. cl 76 97 //57_