1996, 06-12 Permit App: 96004395 MHPROJECT NUMBER= 96004395 APPL-ICATION DATE= 06/12/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=46719 E MISSION AVE PARCEL#= 55182.0355
ADDRESS= GREENACRES WA 99016
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 000129 PLAT NAME= BACON'S ADD TO GREENACRES
BLOCK= 3 LOT= ZONE= UR -3.5 DIST#= G
AREA= F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= HARMON, RICHARD J.
STREET= 5605 N MARKET ST
ADDRESS= SPOKANE WA 99207
PHONE= 509 489 2782
CONTACT NAME= RICHARD HARMON PHONE NUMBER= 206 335 0485
BUILDING SETBACKS: FRONT= 35 LEFT= 20+ RIGHT= 30 REAR= 25
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS: ��T� LDA
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
Wia/IP
4AF.�01#(2ftrLeuaDstvC.
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
cr--)L-7
COMMENTS:
6//i if'6
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 96/OAKGROVE/FLEETWOO MODEL=
SERIAL#= WIDTH= 28 LENGTH= 60 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
PROJECT NUMBER= 96004395 APPLICATIdN DATE= 06/12/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 126.50
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
\Nhat is the JOB SIT address? A ji
Legal description as it appears on the property deed
OR or OCCUPANT
ASSESSOR'S tax parcel number?
(,-C>%VC�c1
Phone
Cs 0%)
( G)33S-0'135'
Mailing address
N 605 IY Adei r 5
City, state
Saiz//\ WA
Zip
ct o7
Who should we contact regarding this project?
Phone
Es -9) 4 NN- 2 --
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What work is being done under this permit?
MAAJu E
66 A'
Right of way W!dth;.
B
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 coat of your project]
Manufactured Home
Sign
Width:
Length:
o
What is the square footage of
the sign face?
How high is the sign]
Year:
Make:
0.4 k 6. l20 -/FC c,_ 6 z
c.creLI
Installer
'7,14 eiF Z�Y /1 e43, c )—e� 45
Contractor
We State Contractor license #
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
IFuei Storage Tanks
(SwimmingPool
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
a State Contractor license #
A 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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PRIVATI'E ROAD ANI)
UTILITY EASEMENT
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TI -IIS AGREEMENT made and entered into the 5 day of �� `� ^r F , 19I�by the
undersigned property owner, who is granting the easement across their property.
WHEREAS this easement was created as a medium of ingress and egress for the benefit of the
following described property located in Section(s) V.), Township 5 N Range 'Cc EWM,
Spokane County, Washington:
JP'i�z!NF,{ (19 RF(C)Rf Ff)
4. l) 5 1996
iiVUla: T +.vty1C1f1
SPOKANE COUNTY, WN.
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-/Y-i-/CO/4_,R 7
ACCESS to the above described tract of land along with a utility easement is provided by an access
and egress easement being 2 S' feet wide described as follows:
(i C-0 " i C ‘Vi 0 6- F N C -k6 3 w } i J ( f
14) I 10 1 E oc Y C. P j (3 6 1 6 C. -
,as shown on attached MAP.
MAINTENANCE OF EASEMENT
Maintenance of the property covered by this easement shall be by the owner(s) of the property
served as described above. Spokane County has no responsibility to maintain or otherwise
service the private road herein descrit ed.
Sign: ✓'t 1(1--te./,itz-ct; . 4i Leo
STATE OF WASHINGTON ) SS
County of Spokane )
I certify that I know or have satisfactory evidence that CL\f\�s-A \\a,t
(print name) is the person who appeared before me, and said person acknowledged that
(lie/she) signed this instrument and acknowledged it to be (his/her) free and voluntary
act for the uses and purposes mentioned in the instrument.
Dated: (,) - S (1�,, ., :�r'2�
R.E. Excise Tax Exempt
Date: 19
Treasurer
Print Name Here:
Date
�lCi}R+RO t)F1'QMon)
it/, S665NAFLKEr STR,
S PCK JE L 9c ai7
Notary Signature
Title
My appointment expires
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