1997, 07-02 Permit App: 97004751 MH4 . _ a
PROJECT NUMBER= 97004751 APPLICATION
PROJECT NUMBER= 97004751 APPLICATION
DATE= 07/02/97
DATE= 07/02/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19006 E MONTGOMERY DR PARCEL#= 55082.1018
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= TRIPLE WIDE MOBILE HOME
PLAT#= 000146
BLOCK= 9
AREA=
# OF BLDGS= 2
PLAT NAME=
LOT=
F/A=
# DWELLINGS=
BARKER ROAD MOBILE HOMES 1ST A
18 ZONE= UR -7 DIST#= G
F WIDTH= 70 DEPTH= 145 R/W= 60
1 WATER DIST =
OWNER= FOREMAN, ELLSWORTH & VIOLET
STREET= 19006 E MONTGOMERY DR
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= ELLSWORTH FOREMAN
BUILDING SETBACKS: FRONT= 61 LEFT= 5
******************************
DEPARTMENT
BUILDING
PHONE= 509 226 3197
PHONE NUMBER= 509 226 3197
RIGHT= 17 REAR= 100
REVIEW INFORMATION *****************************
REVIEW REQUIREMENT
SETBACK REVIEW REQUIRED
APPROVAL: OK — CF
BUILDING CRITICAL AREA
APPROVAL: C. FRAZIER
HEALTHDIST INCREASE IN LOT
COMMENTS:
V.Kt- p2
*****************************
CONTRACTOR= OWNER
DATE: 07/02/97
DATE: 07/02/97
3ii?eoge system designed
COVERAGE kr a bedrooms othv.
* MOBILE HOME PERMIT *****************************
PHONE=
YR/MAKE= 1997 SILVERCREST MODEL=
SERIAL#= WIDTH= 39 LENGTH= 48 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
QUANTITY FEE AMOUNT
3
Y
Y
150.00
33.00
4.50
AMOUNT' PAID AMOUNT OWING
� Y
PROJECT NUMBER= 97004751 APPLICATION DATE= 07/02/97 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 187.50 .00 187.50
187.50
.00 187.50
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
BUILDING MUST BE 200 FEET FROM THE ORDINARY HIGH WATER MARK.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
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ZONE
ROAD WIDTH (,,o
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(„1 . FLANKING
COMMENTS
REVIEWEDBY (_ (-1-Ata.1,4)-1,
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MO\`ING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
AC6SSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engi.leer
4- 47.--zt.--,4.4(ddress Phone
Co' a_ :r
egal scr' ion operty IGi comple
Address Phone
Address / i ohnegr
Address �, ' `� c1fPone
cription jjrom eed, ;ax receipt, etc 1
ESCRIPTION OF WORK: New / c,% Addition
Size of Lot 7� s / -5.-- r
Stories / Dimensions
Rooms _ / Baths '2" ---Basement ti Foundation ons
F • •art, none)
ez4
Remodel
Heat. System
Use of Bldg.
1 / Ty• = of R•ofing
Moving
Sewage System.
oti- S. Ft
)Ext. Finish
Q -
Fire Zeo�
X111-.
Valuatiorf//��'' n. 60
�/ CJ
mney (K! d Kind) c (
Int. Wall Finish
No. of Units./ Bedrooms
3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines at:d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
SOUTH
I hereby c- 'fy infor tion sub tted is correct
as shown. /
and there are no
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
er or Agent
A LAND USE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
figi
1/ur street address will be ! rV C � The zone
C
Se`age Permit Number Issued Billding Perm (O KS- Receipt
Redarks
is
Issued
Form 523 Bldg. Code
'1
70
1
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