1996, 03-26 Permit App: 96001714 MH0
v '►
PROJECT NUMBER= 96001714 APPLICdTION'
DATE= 03/26/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19210 E MARIETTA AVE PARCEL#= 55082.1205
ADDRESS= OTIS ORCHARD WA 99027
PERMIT USE= DOUBLE WIDE MOBILE HOME —811A1
P11-
PLAT#= 000146 PLAT NAME= BARKER ROAD MOBILE HOMES 1ST A
BLOCK= 11 LOT= 5 ZONE= UR -7 DIST#= G
AREA= 00008190 • F/A= F WIDTH= 70 DEPTH= 117 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= MURPHY, JERILYN
STREET= 19210 E MARIETTA AVE
ADDRESS= SPOKANE WA 99027
PHONE= 509 924 5912
CONTACT NAME= JOHN LEBLANC PHONE NUMBER= 509 928 3003
BUILDING SETBACKS: FRONT= 33 LEFT= 35 RIGHT= 8 REAR= 15
****************************** REVIEW INFORMATION**,r******:t*************,e*****
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
3.—<P.9,
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
IQ" tO2u tv k-' 1
L' Mt..l4yL
-?.44A r
coo- j/6+-1-7
cfrR(7L. a9 m
****************************** MOBILE HOM PERMIT **********************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1995 GOLDEN WEST MODEL=
SERIAL#= WIDTH= 27 LENGTH= 52 HEIGHT= 10.
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 22.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 126.50
PROJECT NUMBER= 96001714
F
APPLICATION
DATE= 03/26/96 PAGE= 02
******************************** THANK YOU ************************************
d
e)
n
d
0
\
APPLICATI&N INFORMATION
'What is the JOB SITE address?' ASSESSOR'S tax parcel number?
sLega///a/D 27./Zik G77 �SoBa, l.. 65--
Legall description as it appears on the property d
OWN yy ��7CUPANT /, /J ,Q1
JGSC/ /2!» /YL�/C_�%
Phone
Melling a res n/ /7(9/d ii/P�/'
,,/) Zip
r(,/
dy, state 2 449,29X/ S l90/77
Who should re Dena regarding this project?
Phone
202f- 30a 3
What work is beingone under this permit?
done
/NSgd7/ LMiCRnj/1010%-- , t t a
o/is
Inspec 'strict
Property size .. _
Right of way width t
Water district
i
Building
Building height
# of stories
storieswt
l(t!t gt
:i .•
Contractor
-TOTALtSOUAREF
Dimensions}
A E ,
‘' y
a . .. 4
WA State Contractor license #
I
Main floor area
Unfinished base 4 ntiaree t :.
l4 11 ji
Mailing address -
2nd floor area
Finished basement'area' U
---v
,—O
Architect/Engineer t
Garage area ,
Size of decks, etc. -? t -t
What is the heat source?
'
What is the cost of your project? 1. -
Manufactured Home
Sign
Width: /
/
Length: /T / •
"l _ ^/. -
17�`
What is the square footage of
the sign fecal
How high is the sign?
Year:
/;%� /�%'%
M IfQOt/-/
i Q
(/�J�
/J
✓ / /
Installer ,/ /�// //Vj
/' / //Clay l f�ni
/�� '(y/(®/�/+
c e-,
Contractor
-
Wa State Contractor license #n//A a S. /e,„ bi
Wa State Contractor license #
Mailing address
/3.94;6 sf'R6'�,_ /%a114
Mailing address i
1
Relocation ..... . .:.. . r:: ,
;
Fire Safety.
Previous address
.. �r -
Fire Sprinkler i ' Tent
r
_......___.
Paint booth _ Fire Alarm— __ 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
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
a State Contractor license #
WA State Contractor license #
Mailing address
Mailing address -
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
fi•
,: `‘.
Site Plan
/r)
0
6
l
au
N
4
t7f,€ g7 Xaa
S
0
p ,(1/1Y�
0 77
I
4J
r
JO<
W
0
rQa
T,
o
cr
3
v
Ii
r
1
rl
II
/r
PcI
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
O Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
O North arrow
❑ Septic tanks & wells
/Qvo ----t1/44AR.16-7-7-4
MANUFACTURED HOME TITLE ELIMINATION APPLICATION (TITLE TO REAL PROPERTY)
Manufactured Home:
Year Make Width Length
Vehicle Identification Number
Registered Owners:
Names Signatures'
Legal Owners:
Names
Signatures'
'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY CHAPTER 46.12 RCW AND
INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SHE/THEY OWN AND TO WHICH IT IS/IS
BEING AFFIXED.
Land to Which Manufactured Home Is Being Affixed:
Property Tax Parcel Number
Legal Description
Owners' Names
Signatures'
2SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISED ABOVE.
Building Permit Office Certification:
I certifythat the anufactured home has been affixed to the real property as described above and/or building permit number
ate/eft: has been issued for the purpose of affixing the manufactured home to the land and will be inspected
upon ompletion.
SPOKANE COUNTY
Ali G!/ DIVISION OF BUILDING AND PLANNING
SIGNATURE
BLDG PERMIT OFFICE
DATE
56 go
PHONE NUMBER
County Auditor/Agent Licensing Office Approval: (Not for use by subagents)
I certify that the above application appears to have been completed correctly, and that the applicant has sufficient
documentation to proceed with the recording of this form.
NAME
SIGNATURE
OFFICE/GAAP OPERATOR NUMBER
DATE
Recording Office:
I certify that this form has been recorded in the county records.
NAME
FILE
SIGNATURE COUNTY DATE RECORDING NUMBER
Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross
misdemeanor punishable in accordance with RCW 9A.20.021.
TD -420-730 MFG HOME TITLE EL IM (R/9/91)M Page 2 of 2