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1997, 08-07 Permit App: 97005899 MHPROJECT NUMBER= 97005899 APBLICATION ' DATE= 08/07/97 PAGE= 01 PROJECT NUMBER= 97005899 APPLICATION DATE= 08/07/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 11005 E PONDEROSA DR PARCEL#= 44054.9020 ADDRESS= SPOKANE WA 99206 PERMIT USE= NEW SINGLE WIDE MANUFACTURED HOME (REPLACEMENT OF RESIDENCE) PLAT#= 999999 PLAT NAME= RANGE BLOCK= LOT= ZONE= SRR -5 DIST#= F AREA= 00000001 F/A= F WIDTH= 116 DEPTH= 375 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = PRIVATE WELLS OWNER= TAYLOR, JERRY PHONE= 509 891 0567 STREET= 11005 E PONDEROSA DR ADDRESS= SPOKANE WA 99206 CONTACT NAME= JERRY TAYLOR PHONE NUMBER= 509 891 0567 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 5 REAR= 30 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: HES HEALTHDI T NEW ORIA)DDITIONAL WASTE WATER COMMENTS: HEALTHDIST PRIVATE WELL REVIEW COMMENTS: ***************+************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 1997 OAKWOOD SERIAL#= PHONE= MODEL= WIDTH= 14 LENGTH= 66 HEIGHT= 00 ITEM DESCRIPTION QUANTITY INSPECTION FEE 1 COUNTY SURCHARGE Y STATE SURCHARGE Y PERMIT TYPE FEE AMOUNT AMOUNT PAID --------------- ------------- ------------ FEE AMOUNT 50.00 11.00 S� �S 4.50 AMOUNT OWING - PROJECT NUMBER= 97005899 APPLICATION DATE= 08/07/97 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- MANUFACTURED HM 65.50 .00 65.50 ------------- ------------ ------------- 65.50 .00 65.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO •++*+*+****rte+++**+** THANK YOU FR�sQ��oS 4s:�l L