1998, 05-11 Permit App: 98003873 MH•
PROJECT NUMBER= 98003873 APPLICATION
PROJECT NUMBER= 98003873 APPLICATION
DATE= 05/11/98
DATE= 05/11/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1209 N FELTS RD PARCEL#= 45171.0803
ADDRESS= SPOKANE WA 99206
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR -3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 125 DEPTH= 300 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = MODERN
OWNER= WIDGEON, TIM
STREET= 12206 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99026
CONTACT NAME= TIM WIDGEON
PHONE= 509 927 0448
PHONE NUMBER= 509 927 0448
BUILDING SETBACKS: FRONT= 30 LEFT= 100+ RIGHT= 10 REAR= 50+
****+************************* REVIEW INFORMATION *******4-4-********************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED Qt"C, R72-- /7 Y//.'- [�_Q
ire-OM/ir
COMMENTS:
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE
COMMENTS:
or ell Acow atp
WATER kr), ,4\ biLA ."
**++**++++*****+++++********** MOBILE HONE PERMIT ***+****..++++**********++++++
CONTRACTOR= OWNER PHONE=
YR/MAKE= 98/CHAMPION MODEL=
SERIAL#= WIDTH= 28 LENGTH= 50 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
COUNTY SURCHARGE Y 22.00
STATE SURCHARGE Y 4.50
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 98003873 APPLICATION DATE= 05/11/98 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 126.50
******************************** THANK YOU ************************************
PROJECT NUMBER= 98003873 APPLICATION
PROJECT NUMBER= 98003873 APPLICATION
DATE= 05/11/98
DATE= 05/11/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1209 N FELTS RD PARCEL#= 45171.0803
ADDRESS= SPOKANE WA 99206
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR -3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 125 DEPTH= 300 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = MODERN
OWNER= WIDGEON, TIM
STREET= 12206 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99026
CONTACT NAME= TIM WIDGEON PHONE NUMBER= 509 927 0448
BUILDING SETBACKS: FRONT= 30 LEFT= 100+ RIGHT= 10 REAR= 50+
PHONE= 509 927 0448
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
DIA Pee__ /4=77
5// 1 /5
CY_, 6(71NP
HEALTHDIST NEW OR ADDITIONAL WASTE WATER Ok ss $ 3 Qtvii-i i/& 5)A9 rf
COMMENTS:
Urn l 1'S ( PRS Se..itia *****************************
***** ******** ***** ********* MOBILE HOME PERMIT
CONTRACTOR= OWNER PHONE=
YR/MAKE= 98/CHAMPION MODEL=
SERIAL#= WIDTH= 28 LENGTH= 50 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
COUNTY SURCHARGE Y 22.00
STATE SURCHARGE Y 4.50
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PERMIT TYPE
J
4
D
This site plan is being submitted for the purpose of
obtaining a buildingpermit and is a true and correct
representation of the prbposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water,steep slopes or other critical areas.
ned_ of �� LAO( (,B -n
//-9p
Date:
ADDRESS N 7209 >C L t -
ZONE 5
ROAD WIDTH 3°
FRONT 30 - ING
COMMENT
REVIEWED
50
ID' _s'miN� } Ped
o Oce
•