1998, 06-25 Permit App: 98005675 MH PROJECT NUMBER= 98005675 APPLICATION DATE= 06/25/98 PAGE= 01
PROJECT NUMBER= 98005675 APPLICATION . DATE= 06/25/98 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 806 S PROGRESS RD PARCEL#= 45234 . 0419
ADDRESS= VERADALE WA 99037
PERMIT USE= RELOCATE DOUBLE WIDE MANUFACTURED HOME
PLAT#= 005595 PLAT NAME= SP-960-94
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00019513 F/A= F WIDTH= 84 DEPTH= 231 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= MCCORMICK, JERRY PHONE= 208 664 2038
STREET= 806 S PROGRESS RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= CRAIG HANCOCK PHONE NUMBER= 509 325 4765
BUILDING SETBACKS : FRONT= 50 LEFT= 10 RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L & I SAFETY PERMIT REQUIRED
COMMENTS :
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 06/25/98
ENGINEER APPROACH/ DRAINAGE/ FLOOD 0 ( g ' , AlWR -7 r
COMMENTS:
UTILITIES W/IN PRIORITY SEWER AREA "
COMMENTS : •
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1993 SKYLINE MODEL=
SERIAL#= WIDTH= 27 LENGTH= 52 HEIGHT= 00
•
PROJECT NUMBER= 98005675 APPLICATION DATE= 06/25/98 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100 . 00
COUNTY SURCHARGE Y 22 . 00
STATE SURCHARGE Y 4 . 50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 . 00 126. 50
126.50 . 00 126. 50
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
L & I SAFETY INSPECTION MUST BE CONDUCTED AND CORRECTIONS
MADE, IF ANY, PRIOR TO OCCUPANCY
*******************************************************************************
* PLAT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
DO NOT ISSUE SEWER PERMIT FOR E. 15008 - 8TH (TRACT "A")
WITHOUT RELEASE FROM UTILITIES PER ROGER 9/4/97
EASEMENT AGREEMENT IS REQUIRED.
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
li
Department of Labor&Industries !.rr o ALTERATION PERMIT
Factory Assembled Structures Section ., :, Do not complete shaded areas
INSTRUCTIONS: �' /Permit# 6 i70
1. Complete all spaces,including the signature box(marked with an X). ij,voi # :;d
2. Draw a map on reverse side of WHITE copy only.
3. Forward completed permit and fees to the nearest L&I office. See list on reverse.
4. Contact and schedule the inspection with the same L&I office within 15 days. iii7uattnta#
Owner last name first name Day time phone Date
.
t {! r ( ) /
Address City
State ZIP
Installer/Contractor/Dealer Phone Contractor s registration number
Address City State ZIP+4
. ii II , / p-.., .:`z,. i t`w, . 1`1.i' r:
Check the appropriate boxes in section A and section B. FEES
A B ❑ Alteration Inspection(check appropriate boxes below) $
LICommercial Coach ■ Air Conditioning/Heat Pump #A'i Cc^��
t9
SenalNo' ■ Electrical nrrt?F;TMFI+IT OF LABOR r IrDl1STRIES
•, 111 Electrical Appliances
Mobile Home ® Fire Safety
serial No• ■ Gas Furnace N2 1999
■ Gas Piping
H1JI)No. ■ Plumbing ti '"''.i' 0
III structural .,...,..:.:.,:.:...,.
SPOKANE, WA
wrist Nrs :<»s:<>
■ Wood/Pellet Stove— .- "
Li Recreational Vehicle or ❑ Park Trailer "' "''
Plan Review •
Scnal l�lo:
$
RV Inspection $
Rng:cud Ye�mttt
Model No,or Plan Approval No, Reinspection Ro $
Technical Inspection $
CSignature of applicant or authorized representative -\ Make check payable to: Dept.of Labor&Industries
X
J FEES DUE $-r ;
Depaartment use onl
]� Ilegaest approved or 1J Request denied because of speefc violations of Wtashington rales find regulation.Violations must
..he'co rrecte•d.and.re l:..;,,:::'.±tk n.re -11 ed WIt#tin l0 dpya f tie*tk nal vehicles a id:20d.ays for m obile li omes and commerciSi coaches
{ e -..o, e.:;:: ::. .. ..:x.... .;nica,..nspe ..:::le ren• or lease an :::>:::
nt;t6e:gntice.uE:violation date,.;.;�'t'61g:dues.not.apply:,tn.tecirWcnl lnsparrttuns) :;.Ii is i�plawta to offer fuyr sa;;►;;;; t, y
:::::noR�cottt pl,oblk ltbmle Mtdtitiet'dal:c�aclA;nc>tc+cfeetGon vehicl ;:..-.::>;.:.;.:...>:;::..:;;:.;:.;;;;, ;; >;::.: ...;.;>:>;::::.;:<::..:.:
... ... ......
eluded areloiiiis required which must be txnttpletcd and fees submitted before reinslicction.
C:P6. .'2t2::::0.1'.2-000'
:]fie A; ffiInspector Y'Foist pages
/1�alteration permit 11-97 White-Olympia Green-Contractor Canary-Inspector link-Purchaser Goldenrod-Purchaser
® 18
I -
.) .
I )
1 . i
J9OPA7e.cf 6 c
A ,,
e5"
, )
,-"- g r, y it ,
•
iig•gAli) ,
..:......:,-. 400
41 ANcca_ aNG-cr.
Aik-s, ip,
zo,,E. • k 40 . •
3211766 1:104/1 - Air
• oe. , COAA,PRONr.
ball-019W, &"‘f ''Z'-- 0 itii"WENrS 1**#1
Ct4• .•-.C) lekyz :
Pia I N fr .44 ..
, c....
3 V '`''' 4"D tip. nhVG.
2_4. 2q3 I ..,
'
4.
:.0i•ir''i • CDCD
- - -
...‘k'
" -`
- . ,
iN
k‘.. ......._
.41./
vi ,t,.
--------—
I
1 f(4: '1Poseo ---)
i 14._ .A.14/-7,
1 .
,0
-7 5q.g,
1 la
\.73 ,,,•'- 4)(1 ': , t' r,4. (#f3 1E--4,...),4'1' ' ‘,1'',.:{ 1.:7 t-Ii I Z,'Gno
I ___,7.,•_____,. • 1-.1t21-4.•iltiAR.Ai ,..........
, Va•AIKL4 I .
i )
111•MW'''..;, ', .) .
iOidib4;a ' 1
;•;‘i•!•••:,s,•••:::•' 1 i:•) I
I \, .-IIZ
i • ) 3-I
, ve 41 ,Ifi /
! z,
,
0 ;
i • ;
/ S 1 1 fiL A 1 -------- -------1 •
•
__--
_PR .' •
Od6._Ri.S<C. .1161241-
.- .i.
)
, At •-•ft a
: • . 1 J '----/ . •" 0
) ; 1
4.
1
i I,