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 ************************************
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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.
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Site Plan
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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