1995, 02-28 Permit App: 95001039 MHPROJECT NUMBER= 95001039 APPLI,ATION
******
THIS IS NOT A PERMIT
DATE= 02/28/95 PAGE= 01
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 8315 E VALLEYWAY AVE PARCEL#= 45184.0548PTN
ADDRESS= SPOKANE WA 99212
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 005701
BLOCK=
AREA= 00000000
# OF BLDGS=
PLAT NAME=
LOT=
F/A=
DWELLINGS=
SP -958-94
3 ZONE= UR -3.5 DIST#=
F WIDTH= DEPTH=
WATER DIST =
OWNER= SPITZER, GORDON & LUCILLE
STREET= 2125 E LIBERTY AVE
ADDRESS= SPOKANE WA 99205
CONTACT NAME= FRED BEAVER
BUILDING SETBACKS: FRONT= 40 LEFT= 25
E
R/W=
PHONE= 509 325 3033
PHONE NUMBER= 509 922 7857
RIGHT= 43 REAR= 20
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
a- 2"-cts
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
PHONE=
YR/MAKE= 94/NASHUA MODEL= NEW
SERIAL#= WIDTH= 26 LENGTH= 42 HEIGHT= 10
•
PROJECT NUMBER= 95001039 APPLICATION'
ITEM DESCRIPTION
DATE= 02/28/95 PAGE= 02
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
122.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 122.50
******************************** THANK YOU ************************************
PROJECT NUMBER= 95001039
******
APPLICATION , DATE= 02/28/95 PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
******
SITE STREET= 8315 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99212
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
DOUBLE WIDE MOBILE HOME
PARCEL#= 45184.0548PTN
005701 PLAT NAME= SP -958-94
LOT= 3 ZONE= UR -3.5 DIST#=
00000000 F/A= F WIDTH= DEPTH=
# DWELLINGS= WATER DIST =
OWNER= SPITZER, GORDON & LUCILLE
STREET= 2125 E LIBERTY AVE
ADDRESS= SPOKANE WA 99205
CONTACT NAME= FRED BEAVER
BUILDING SETBACKS: FRONT= 40
***************
DEPARTMENT
LEFT= 25
E
R/W=
PHONE= 509 325 3033
PHONE NUMBER= 509 922 7857
RIGHT= 43 REAR= 20
*************** REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
a- 71T-95_____
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
e&A-F
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
PihaQ y —k- !eA mm2 -22-9'5- 0/4-
COMMENTS:
16/s-
.14_0
6/s -
.14_0 . Ckp
-p, AST P‘5( ‘S
PLANNING UNPLATTED/SEGREGATED PROPERTY
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 94/NASHUA
SERIAL#=
PHONE=
MODEL= NEW
WIDTH= 26 LENGTH= 42 HEIGHT= 10
APPLICATION INFORMATION cf5- /6-39
What is the JOB SITE address?
E, fs3/5
ASSESSOR'S tax parcel number?
4--ts l etA U 5-k1
Legal description ask appears on the property deed
OWNER or OCCUPANT
/t
Mailing address
1
Phone
'3 c-3033
City, state
Lt/ , q .20 5
Zip
Who should we contact regarding this project?
Phone
922 - 7,fS7
What work is being done under this permit?
DoUb(e.,L) lei
Inspector districts.
Contractor
Building height
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Architect/Engineer
Garage area
Finished basement area
Size of decks, etc.
N
y
a.
N
0
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
o:-
/
Length: /
What is the square footage of
the sign face?
How high is the sign?
Year:
/'9y
Make: 604/6
‘1e
Installer
Contractor
Wa State Contractor license # C ' /e93(4
Wa State Contractor license #
Mailing address
E /5Q1
(/vii
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.
S
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( Record 663.74 )
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ACKNOWLEDGMENT
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995 before me personally appeared Clarence R. Robisor and ctSobison husband
knowledged the same to betheir free and voluntary oct and deed for me uses and purposes
Ind and affixed my official seal the day and year first abov-e. written.
7
, Notary Public in and for the State of Washington , Residing at
674
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t my hand and affixed my seal this 25724 day
R. ROBISON
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20'
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AUDIT()
Filed for record this
1995 at k1. in
at the request c
EQUIPMENT 1
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