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1998, 09-04 Permit App: 98008683 MHPROJECT NUMBER= 98008663 PROJECT NUMBER= 98008683 APPLICATION DATE= 09/04/98 PAGE= 01 APPLICATION DATE= 09/04/98 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 19025 E MARLIN DR ADDRESS= OTIS ORCHARDS WA 99027 PARCEL#= 55082.0507 PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME PLAT#= 000145 PLAT NAME= BLOCK= 4 LOT= AREA= 00000000 F/A= # OF BLDGS= 1 # DWELLINGS= BARKER ROAD MOBILE HOMES ADD. 7 ZONE= UR -7 DISTH= G F WIDTH= 75 DEPTH= 96 R/W= 60 1 WATER DIST = OWNER= TAYLOR, HUBERT W & DOROTHY STREET= 19025 E MARLIN DR ADDRESS= OTIS ORCHARDS WA 99027 CONTACT NAME= HUBERT TAYLOR BUILDING SETBACKS: FRONT= 28 LEFT= 8 PHONE= 509 926 7939 PHONE NUMBER= 509 926 7939 RIGHT= 40 REAR= NA ****************************** REVIEW INFORMATION *****+*****************-*****+ DEPARTMENT BUILDING COMMENTS: REVIEW REQUIREMENT SETBACK REVIEW REQUIRED ENGINEER APPROACH/ DRAINAGE/ FLOOD COMMENTS: HEALTHDIST COMMENTS NEW OR ADDITIONAL WASTE WATER ****************************** MOBILE HOME CONTRACTOR= UNKNOWN STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN 9 designed %�� bedrooms only `' /( Sewage system de ' d Sewage PERMIT ********k******************** PHONE= YR/MAKE= 1998 FLEETWOOD MODEL= SERIAL#= WIDTH= 27 LENGTH= 66 HEIGHT= 00 ITEM DESCRIPTION INSPECTION FEE COUNTY SURCHARGE STATE SURCHARGE QUANTITY FEE AMOUNT 2 Y Y 100.00 22.00 4.50 PROJECT NUMBER= 98008683 APPLICATION PERMIT TYPE DATE= 09/04/98 FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 126.50 .00 126.50 126.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO .00 126.50 PAGE= 02 ******************************** THANK YOU ************************************ n d APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? Legal description as it appears on the property deed OWNER or OCCUPANT gd?-g -f' 4i) . /a.r for Phone Ki Is2 ((ho 9'y617 Mailing address. J I'9o,-,5— _ -7i — — A . City, state / Zip Who should we contact regarding this project? '�.A'e`--74 2 (lOr Phone a66 - -7`113-* What work is being done under this permit? )fry 164`�� e 4" i Lone L Inspector district o Property size Hight of way width,... Water district Building Building height — # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd 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: 46, What is the square footage of the sign face? How high is the sign? !_ j Year: (///'}%/`/ Make:/1//%n Installer r lL7�7 /y'-Y�-'� p/ � (/CJ tt.[1, Contractor Wa tate optractor license # 0 Wa State Contractor license # Mailing address i Mailing address Relocation :_-:-- :,;: Fire Safety-:-:- Previous address Fire Sprinkler Tent _ 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 Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. 0. d Site Plan rk rLi INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings ❑ Underground utilities ❑ North arrow 0 Septic tanks & wells