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2000, 08-10 Permit App: 00007028 MHProject Number: 00007028 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/10/2000 Page 1 of 2 Project Information: Permit Use: DOUBLE WIDE MOBILE HOME Setbacks: Front 100 Left: 12 Right: 5 Rear: 30+ Site Information: Contact: ALL SEASON CONSTRUCTION Address: 34292 HWY 41 C - S - Z: OLDTOWN, ID 83822 Phone: (208) 437-3837 Group Name: Project Name: Plat Key: 002677 Name: TRENTWOOD ORCHARDS Parcel Number: 45031.2110 Block: 51 Lot: SiteAddress: 4515 N EVERGREEN RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 22,050 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential 3.5 Owner: Name: Address: District: H GUTTIERREZ, RICHARD 4515 N EVERGREEN RD SPOKANE, WA 00000 Hold: ❑ Width: 73 Depth: 300 Right Of Way (ft): 60 Nbr of Dwellings: 1 Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Ob Par1/4511 Permits: Plan Review Septic System Review Sew a system -designed - for brooms only. Approach / Drainage Released By: Released By Released By: Project Number: 00007028 Inv: 1 f Aplalieation Date: 08/10/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Item Description INSPECTION FEE COUNTY SURCHARGE Payment Summary: Operator: CKF Permit Type Manufactured Home Notes: Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 SECTIONS 1 Y OR BLANK Permit Total Fees: Fee Amount $100.00 $22.00 $122.00 Printed By: CKF Print Date: 08/10/2000 Fee Amount Invoice Amount $122.00 $122.00 $122.00 $122.00 Amount Paid $0.00 $0.00 Amount Owing $122.00 $122.00 ADDRESS' LIG-) ZONE ROAD IDTII FRONT /' COM REVI'MEP FLANKING This site plan is being submitted for the purpose of obtaining a b:::,ding permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines structures and easements have been identified. Also indicated are wetlands, bodies of water, steeslopes oc t er c i al area 5lgned: - :i ✓trh Date: Mc e. P 5-6 1 t\J LECIL--- i ( Na. Z 0 A -