HomeMy WebLinkAbout1995, 07-19 Pemit App: 95005387 MHPROJECT NUMBER= 95005387 APPLICATION DATE= 07/19/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18819 E FAIRVIEW AVE PARCEL#= 55082.1705
ADDRESS= OTIS ORCHARD WA 99027
PERMIT USE= DOUBLE WIDE MANUFACTURED HOME
PLAT#= 005165 PLAT NAME= MEADOWLARK ADDITION
BLOCK= LOT= 5 ZONE= UR -3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= SCHIMMELS, GARY
STREET= BOX 312
ADDRESS= NEWMAN LAKE WA 99025
PHONE= 509 226 2049
CONTACT NAME= GARY SCHIMMELS PHONE NUMBER= 509 226 2049
BUILDING SETBACKS: FRONT= 80 LEFT= NA RIGHT= 30 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
FAL13) oic6ri//,
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
SPK
I •o�V ' l J
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1994 KIT MODEL=
SERIAL#=
WIDTH= 28 LENGTH= 52 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 122.50 .00 122.50
PROCESSED BY: JEFF FORRY
PRINTED BY: JEFF FORRY
122.50 .00
122.50
10-3C
1152 50
PROJECT NUMBER= 95005387 APPLICATION DATE= 07/19/95 PAGE= 02
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
'What is the JOB SITE address?
/Jf/9/, 2 /
ASSESSORS tax parcel number?
6.00 -2 -1031(105 -
Legal desc iption as it ppears on the property deed
oT f'/ ooGr/-4, ,e_z .94D/17,
Phone
2.2‘ —Zc2 V9
OWNER6,141/
ERor OCCUPANT
141 / c4/",/,',7,07c4/",/,',7,07EG i
Mailing,
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City, state
Zip
Who should we contacf regarding thi project?
i"7/97L=
Phone
995 -oily
What work is being done under this permit?
B
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
and -floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
y
What is the square footage of
the sign face?
How high is the sign?
Year:
/9'9Y
Make:
, 7—
Installer
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Wa State Contractor license #
Contractor
Wa State Contractor license #
Mailing address
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
Swimming 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.
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DIRECTIONS TO SITE:
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