1997, 03-19 Permit App: 97001509 MHPROJECT NUMBER= 97001509 APPLICATION DATE= 03/19/97 PAGE= 01
PROJECT NUMBER= 97001509 APPLICATION DATE= 03/19/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 918 S NINA CIR PARCEL#= 45203.0130
ADDRESS= SPOKANE WA 99206
PERMIT USE= MOBILE HOME EXISTING SINCE 1979
PLAT#= 002378 PLAT NAME= SIESTA MOBILE PARK ADD
BLOCK= 1 LOT= 9 ZONE= UR -7 DIST#= F
AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 120 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= DILLON, CHARLENE PHONE= 509 922 0123
STREET= 918 S NINA CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CHARLENE DILLON PHONE NUMBER= 509 922 0123
BUILDING SETBACKS: FRONT= 20 LEFT= 30 RIGHT= 5 REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
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BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON DATE: 03/19/97
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1979 MARLETTE MODEL=
SERIAL#= WIDTH= 24 LENGTH= 56 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
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MANUFACTURED HM 126.50 .00 126.50
------------- ------------ -------------
126.50 .00 126.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
Aaaress
one
Legs Descr ption of roperty (Give cc m Tete description from de d, ax receipt, etc.)
DESCRIPTION OF WORK: New. Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot r% d -I (o � y, — l a (% Sewage System Stories
Const. Dimensions � D 6 Total Sq. Ft. ;�� 8 Valuation) � v v
( Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. _ S S C Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Ty a of Roofing Finish Int. Wall Finish
i
Use of Bldg. _ No. of Units Bedrooms
Garage or Carport Attached Private Detatched
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
i
REQUIRED
T/��
e
I
Plumbing Permit
p
Heating Permit
N t9 ` _ _ _ _ _ _ _ D
Sewage Permit
Plans Received
CA
Plans Checked
T v ,
Plans Returned
Plans Picked Up
Plans Mailed
sc1 =>
I here rtify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ��C� c�
The
sewage Permit Number Issued Building Permit
zone is
Receipt Issued
Remarks