1995, 05-30 Permit App: 95003761 MHPROJECT NUMBER= 95003761 APPLICATION
DATE= 05/30/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
18618 E GRACE
AVE PARCEL#= 55071.0502
OTIS ORCHARDS WA 99027
SINGLE WIDE MOBILE
002265 PLAT NAME=
3 LOT=
00010000 F/A=
2 # DWELLINGS=
HOME (REPLACEMENT) w(pr bf oJ)c. *OAK
RIVERVIEW MOBILE HOME SUB.
2 ZONE= UR -7 DIST#= F
F WIDTH= 100 DEPTH= 100 R/W= 50
1 ' WATER DIST =
OWNER= WRIGHT, MICHAEL & SHELLY
STREET= 18618 E GRACE AVE
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= SHELLY WRIGHT
BUILDING SETBACKS: FRONT= 31 LEFT= 33
PHONE= 509 921 1845
PHONE NUMBER= 509 921 1845
RIGHT= 7 REAR= 55
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING L & I ALTERATION PERMIT
COMMENTS:
BUILDING
COMMENTS:
HEALTHDIST
x9
oK-
SETBACK REVIEW REQUIRED
-R 8tuthA5
c5• • q5
COMMENTS:
****************
CONTRACTOR= OWNER
YR/MAKE= 1974 FLEETWOOD
SERIAL#=
ITEM DESCRIPTION
MOBILE HOME PERMIT *****************************
PHONE=
MODEL=
WIDTH= 14 LENGTH= 66 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE FEE AMOUNT
QUANTITY
1
Y
FEE AMOUNT
50.00
4.50
9.00
AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 95003761 APPLICATION DATE= 05/30/95 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM
63.50
63.50
.00 63.50
.00 637W-
***-************** ******************************************** * *************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
LABOR & INDUSTRIES ALTERATION PERMIT REQUIREMENTS MUST BE
MET PRIOR TO OCCUPANCY OF MOBILE HOME.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
ADDRESS: I to 18
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C2-
MAY -30-1995 13:55
Mobile Corral Inc. ; 509 535 8970 P.01/02
CORRAL
15906 E. Sprague, Veradale, Washington 99037, Plione (509)918-3003,FAX (509) 891-1314
OUR FAX NUMBER IS - 509-891-1314
TELECOPIER COVER LETTER
TO L!<� co3 (;li r
FHONE
FROMK414 �A'Af`il�F
DATE _ j TraTIME STARTED I
This transmittal consists of this cover sheet plus ` page(s).
IF YOU DO NOT. RECEIVE ALL OF THE PAGES, PLEASE CALL BACK AS SOON
AS POSSIBLE.
REMARKS:_
operator -Sender
MAY -30-1995 13:55
Deparancnt of Gabor & Industries . -
Factory Assembled Structures Section
INSTRUCTIONS:
Mobile Corral Inc.
1. Complete all spaces, including the signature box (marked with au Iq.
2. Draw a map on reverse aide of WHITE copy only.
3. Forwird completed permit and fee to the nearest LSI office. See list on reverse:
4. Contact and schedule the Inspection wlth.the same L&I office within 15 aye.
Day time phone
Owner lutume fan name
FYI /rr' r r r_....:�c'..r., - � - —c c (
City
4- _, rti..e , . .
Phone;
(
Addroa
' ImtalledCamraaor/Dealer
•
509 535 8970 F.02r02 ,
ALTERDATIIONo not corripletc SPERMIT
City;•
5 t ? %
Coairadofs registration =Sir
sure 7LP.4
Checkthe appropriate boxes in section A and section B
Commercial Coach
Mobile Home
Recreational Vehicle or L.1 Park Trailer -
B ' ❑ Alteration Inspection (check appropriate boxes below)
Air Conditioning/Heat Pomp
Electrical.' ' '
Electrical Appliances
Fin: Safety
GasI3anacc
Gas Piping '
PluSbing.
Structilral
Wood/Pellet Stove — —
. plana Review..'
RV Inspection . .
Reinspection
Technical Inspection
)EES
575.00
•
- $70.00. .
$70.00'
$50.00
$50.00/hr
Signature of applicant or authorized representative
e
X
4ut+♦tmPitYo °q ReSge�tt¢ etihee *fiftgpenlflt4410,1witkO'
it y
lsIn pectl6n ret)nessted wiUtin� 1D dagg for retreat =1
pplY
eetminerclai CoaChegof the notfc$ 9 vlo�dop llate.�t7i4E4 oes sot 8 tdtecv a,iii WS]
.rent, Orle9 ``ser
aiy naumply[n� nio lacht)lae'rt:ommertiaKe'pgraurxreeriett�nal vebtt�t
Make check payable to: Dept of Labor & Industri c.
FEES DUE $
rut '5
Ickmdsl'Se tompiciod'roui m,
• White-OlytttplHj' Gr6e(i Y�
P622-012-000 'alteration permit 6-94
R --
tractor
Total page T
-Inspector n -pmcltaser Goldenrod -Purchaser
TOTAL P.02
0.
APPLICATION' INFORMATION
‘What is the JOB SITE address? 'ASSESSOR'S tax parcel number?
E. \�S b\ S' CL -NC .C1C r C 'I-, IC )r cim \.0\ CC\ SSpr71. USoz_
E
Legal deKripticin as jt appears on the property deed I
-114 IVeit/IIRAO l\-1 bih1 Q M -0_, t, 4h L--2 5R 3
OWNER or OCCUPANT• 1 Phone •
15he\\`\ r( -\\C e\ �;�,r \c.\ cls i - )%-US
Mailing address City, state Zip
. t oI$ C-1`cr7-- Ct:S C*1`-> C-x-cV-,N-�\rzrIS et C‘(
Who should we contact regarding this project? Phone
Ccs( 1 t- \- \ 4,, m Qnr,r IDI \ 6'))S - v7
What work is being done under this permit? I
Lone
Inspector district .
Property sae _
Rightof way width- _ .
Water district ---
Building - .
- -
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
1
i
Unfinished basement area
Mailing address
-
2nd floor area
Finished basement area
ArchdectfEngineer
iip)
(-t c\i--:"
v
Garage area
I
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured, Home : °
Sign'
Width:
`�
Length:
t ,_ ko
�V
What is the square footage of
Me sign face?
How high is the sign?
Vear:`\
M' i
Make: -
Installer
mv\c3 t 1 roum-\P
Cr_c ,r tr a l
Contractor
Wa State Contractor license #
Wa State Contractor license # -
Mailing address
Mailing address
1
l
Relocation -
Fire.Safety
Previous address -
Fire Sprinkler Tent
_
1
iPaint booth Fire Alarm Fireworks display
_
VALUE
Contractor
Contractor
1
WA State Contractor license #
WA State Contractor license #
i
Mailing address
Mailing address
Fuel Storage. Tanks_
Swimming -Pool
(Circle one) Above -ground Underground
Size /',gallons
I
Private
Contents of tank(s)
Size / gallons
I
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
I
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County dose not discriminate on the tresis of disability in the admission to, or treatment or employment in, its programs or activities.
0.
0