1999, 06-18 Permit App: 99005442 MHProject Number: 99005442
Inv: 1
Application
THIS IS NOT A PERMIT
Date: 6/18/99 Page 1 of 1
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: JIM HOOPER/MISSION CON
(REPLACEMENT) Address: 10721 E MISSION AVE
Setbacks: Front 35 Left: 12 Right: 12 Rear: NA C - S - Z SPOKANE WA 99206
Phone: (509) 879-4982
Site Information: tt,tttt,
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Plat Key: 001407 Name: LABERRY MOBILE PARK ADD District: G
Parcel Number: 55173.2548
SiteAddress: 425 N HODGES RD
GREENACRES, WA USA 99
Location:: GRE
Zoning: UR -7
Water District:
Area: 7,475 Sq Ft
Nbr of Bldgs: 1
Urban Residential -7
Width: 0
Nbr of Dwellings: 1
Review Information: gt, • l tt, .x as }mow:; .ttt ax
Department
BUILDING
Comments:
Owner: Name: VAN SLATE, PATRICIA J
Address: 425 N HODGES RD
GREENACRES, WA 99016-967
Hold: ❑
Depth: 0 Right Of Way (ft): 60
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Review
Site Plan Review
HEALTHDISTRICT Septic System Review
Comments: �t'/J��NC r
Permits:
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Manufactured Home
Firm: MISSION CONSTRUCTION
Phone: (509) 879-4982
Contractor: MISSION CON
Address: 10721 E MISSION AVE
SPOKANE, WA 99206
Item Description Units Unit Desc
STATE SURCHARGE 1 Y OR BLANK
INSPECTION FEE 2 SECTIONS
COUNTY SURCHARGE 1 Y OR BLANK
Permit Total Fees:
Fee Amount
$4.50
$100.00
$22.00
$126.50
Payment Summary::x::l ::.t;:,, z;,• :::; :•: ;WM,, z:. :::.:.: :. :.::. ..:.wxM, :..,;::*,: ..; .x,:.;= ::::,:; :: .1 :::**b=
Operator: JAS Printed By: JAS Print Date:
Permit Type Fee Amount Invoice Amount
Manufactured Home
$126.50 $126.50
$126.50
$126.50
6/18/99
Amount Paid Amount Owing
$0.00 $126.50
$0.00 $126.50
Notes: t i'a'u3)�gvt? S£A3i°ti�Ytiww� n 3t iK �3LiJ 4\viZ?hii??xi aYc �t�iw�xuiri .:y^,�?.k t\y\ y1>\ts?3at Z4:`.t tia
attrtrlrla�
APPLICATION `INFdRMATION
What is the JOB SITE address�s?)) /
/J, �0et4 ":/
Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT
Mailing address
Phone
City, state GjZip
Who should we contact regarding this proje6t?
a 0 P�
6-07) 7-8??
What work is being doe under this permit?
(")-Q (LC
Right of way width
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
'2ndlloor area
Architect/Engineer
Garage area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
y
Width:
Year: //
L �
Installer
Length:
y
Make: M;d ? &,/%'J
What is the square footage of
the sign face?
How high is the sign?
a
m
Contractor
Wa State Contractor license #
17l/ss, 0_3a7QG
Mailing address
i,7.2/ / .f'!✓...S.,0.cJ
Wa State Contractor license #
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
cwirnming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
This si
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Signe
Date:
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
0 All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells