The URL can be used to link to this page

1997, 06-13 Permit App: 97004165 MH PROJECT NUMBER= 97004165 APPLICATION • DATE= 06/13/97 PAGE= 01 PROJECT NUMBER= 97004165 APPLICATION DATE= 06/13/97 PAGE= 01 r- ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17919 E RIVERWAY RD PARCEL#= 55071.0121 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC BLOCK= 1 LOT= 4 ZONE= SR-1 DIST#= G AREA= 00000000 F/A= F WIDTH= 83 DEPTH= 250 R/W= 60 # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = OWNER= HARDING, JAMES D. PHONE= 509 927 0071 STREET= 17919 E RIVERWAY RD ADDRESS= GREENACRES WA 99016 CONTACT NAME= JAMES HARDING PHONE NUMBER= 509 927 0071 BUILDING SETBACKS: FRONT= 100+ LEFT= 116 RIGHT= 7 REAR= 20 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED APPROVAL: C. FRAZIER DATE: 06/13/97 BUILDING CRITICAL AREA APPROVAL: OK - BILL MOSIER DATE: 06/13/97 HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1996 FLEETWOOD MODEL= SERIAL#= WIDTH= 26 LENGTH= 60 HEIGHT= 10 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 PROJECT NUMBER= 97004165 APPLICATION DATE= 06/13/97 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNfi PAID AMOUNT OWING MANUFACTURED HM 126.50 .00 126.50 126.50 .00 126.50 ******************************************************************************* * PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING * ******************************************************************************* STRUCTURE MUST BE A MINIMUM OF 200' FROM ORDINARY HIGH WATER MARK OF RIVER. EXISTING MOBILE HOME MUST BE CONVERTED TO STORAGE PRIOR TO OCCUPANCY OF NEW STRUCTURE. PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************ PROJECT NUMBER= 97004165 APPLICATION DATE= 06/13/97 PAGE= 01 PROJECT NUMBER= 97004165 APPLICATIOt R DATE= 06/13/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17919 E RIVERWAY RD PARCEL#= 55071.0121 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME, PLAT#= 002044 PLAT NAME= PLAT'"" GREENACRES IRR.DISTRIC BLOCK= 1 LOT= 4 ZONE= SR-1 DIST#= G AREA= 00000000 F/A= F :: WIDTH= 83 DEPTH= 250 R/W=:, 60 !Y` # OF BLDGS= 2 # DWELLINGS= 4-1,g1 ```tollIATER DIST = * OWNER= HARDING, JAMES D. ; , + " PHONE= 509 927 0071 STREET= 17 919 E RIVERWAY RD ADDRESS= GREENACRES WA 99016 CONTACT NAME= JAMES HARDING PHONE NUMBER= 509 927 0071 BUILDING SETBACKS: FRONT= 100+ LEFT= 116 RIGHT= 7 REAR= 20 ****************************** REVIEW INFORMATION *********************** *'* *'w DEPARTMENT REVIEW REQUIREMENT 00 BUILDING SETBACK REVIEW REQUIRED . ,,A4k444. .. APPROVAL: C. FRAZIER_, DATE: 06/13/97 x W' At ,413100 . BUILDING CRITICAL AREA K- APPROVAL: OK — BILL MOSIER DATE: 06/13/97 HEALTHDIST INCREASE IN LOT COVERAGE C// (./2–// --•—� [ . COMMENTS: ; :.j i x ��a 1 + ,�a , , 'l•'.' ..r,, '.Y t '"V 'f dSl s r� 'Y: ****************************** MOBILE HOME" PERMIT ***************************** CONTRACTOR= OWNER 1 PHONE= , YR/MAKE= 1996 FLEETWOOD MODEL= ,; SERIAL#= " WIDTH= 26 pk LENGTH= 60 ' HEIGHT ,10 '' +k 'k�a as ITEM DESCRIPTION' k. QUANTITY} ,5A FEE-.AMOUNTy INSPECTION :FEEL: - Vin; f , , "�4' 1 2 �, 10000: COUNTY SURCHARGE r # Y ?14,44t, # 4 , 22 '0O •4,, *„44t.',1, 44 , t� 111441 STATE SURCHARGE50 y q ` r f Ac !* 4 <;�siJ , + � rr S2 �+� j,.: "t� r*�y�,,}}�� I' . j i;x M. ``a. - tF;pi 9},riy1 .Wr }. y✓r H.. !^�, w }� Ip-,A ,;x �`A� i, P S, ' �< PERMIT TYPE FEE ,AMOUNT :, 'AMOUNTt,PAID,• AMOUNT ;OWING ' •v,A RETURN ADDRESS OMNI CLOSING SERVICES 708 North Argonne Rd, Ste 11 Spokane Valley, WA 99212 PLEASE CHECK ONE Deof L41 ST=artTEmAOFentWASHINGTON MANUFACTURED HOME ICEnSinc APPLICATION TITLE ELIMINATION it TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty of a felony, and upon conviction may be punished by a fine, imprisonment, or REMOVAL FROM REAL PROPERTY both. (RCW 46.12.210) 1 MANUFACTURED HOME TPO / PLATE NUMBER YEAR 1996 MAKE Fleetwood LENGTH/WIDTH(FEET) 60 X 28 VEHICLE IDENTIFICATION NUMBER (VIN) WAFLT31A14080 2 LAND LEGAL DESCRIPTION ON PAGE MANUFACTURED HOME WILL BE (i] AFFIXED ID REMOVED REAL PROPERTY TAX PARCEL NUMBER 55071.0121 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE Ptn Tract "Q", Plat A, Greenacres Irri Dist QUARTER/QUARTER SECTION 3 GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER Spokane NUMBER OF REGISTERED OWNERS 1 NUMBER OF LEGAL OWNERS 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER James D. Harding H ARD I JD 4 7 3() 4 NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 17919 East Riverway Avenue Spokane Valley WA 99016 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER Numerica Credit Union NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 301 North Havana Street Spokane WA 99202 GRANTEE NAME James D. Harding I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT 1 E AM/AR THE VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE EGIS RED OWNER(S) OF THIS ) � / Signature of Additional Registered Owner and Title, IF APPLICABLE SHEILA M. REIMER NOTARY PUBLIC STATE OF WASHINGTOt COMMISSION EXPIRES August 15, 2008 I > > > > > > > > ate of WashingtonNOTARIZATION/CERTIFICATION FOR REGISTERED OWNER( -NATURE ate of Washington C Signed or attested �L / .1 Co ty of �+ ' e g before me on 'C ` l o 0J by ',►i, LLA /1 A.. Signa a✓ — P NT NAME • R GISTERED OWN R ARY OR AGENT ; - INT NAME OF REGISTERED OWNER P NTED NAME OF NOTARY County/Office No. OR Title Y IU � 44,11 AND: Dealer No. OR /S 04# DEALERSHIP POSITIo1T GENT/NOTARY Notary Expiration Date 4 RTIFICATION I cer fy that the legal description of the land and ownership is true and correct per the real property records. NAME (TYPED OR PRINTED) TITLE COMPANY / PHONE NUMBER SIGNATURE / POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. 5 BUILDING PERMIT OFFICE CERTIFICATION I certify that El the manufactured home has been affixed to the real property as described. m a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME (TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE # v, t N 57_7P)- (0 --0 Z 03 BLDG PERMIT # 97-4165 SIGNATURE / POS ON ( �. ti DATE TD9 NUF HOME APFjL (R/2/00)OR (W)Page 1 of 2 -4141 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIIJDINATION 1 -EMOVAL F- GM REAL PROPERTY. Signature of Legal Owner and Title, IF APPLICABLE L... I tlal.011iiir . \-,/ • I / ,,7 '/`l-k. Signature of Additional Legal Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S) SIGNATURE State of Washington Signed or attested — — A — — — �l — 4County of � before me on 4 ` i q l VS Notary Public by r 6 St) Signature UL State of Washington F�-INT HOLLI ANDERSON �y NAME OF LEGA NER NOTARY OR AGENT I I4o11 t C S (-1— wo pointment Expires Jan 19, 3'INT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY County/Office No. OR -fiq- U0 e AND: Dealer No. OR 1 DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date 7 LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's That portion of Tract "Q", Plat "A", GREENACRES IRRIGATION DISTRICT, as per plat recorded in Volume "E" of Plats, page 21, described as follows: Beginning at the most Southerly corner of said Tract "Q"; thence Northeasterly along the Southeasterly line of said Tract, 83 1/3 feet; thence Northwesterly on a line parallel with the Southwesterly line of said tract to the point of intersection with a line drawn between a point 250 feet Northwesterly of the most Southerly corner of said tract measured on a Southwesterly line thereof, and a point 300 feet Northwesterly of the most Easterly corner of said tract measured on the Northeasterly line thereof; thence Southwesterly to a point 250 feet Northwesterly of the most Southerly corner measured on the Southwesterly line of said tract; thence Southeasterly along said Southwesterly line to the point of beginning; Situate in the City of Spokane Valley, County of Spokane, State of Washington. 8 DEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE IS CLEAR OF EN UMBRANCES EXCEPT AS SHOWN. ANY/BUMMED SALES TAX HAS BEEN COLLECTED. 0 DEAL R AME (T PED OR P TED) /J SDE �Fi NUMBER DATE OF SALE / A�/j PURCH RITC I V .A itt in o TAX JURISDICTION/ AXRATE —.IAA.. A.6) ✓ DEALER' UT,ORI/I DSIGNATU �`'�/ l /./✓L�/L / `(;- '" �y'�,' iSE TAX EXEMPT Sale to a Certified ''PibaI member on the reservation (attach notarized statement of delivery). COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify that the above application appears to have been completed correctly, and the applicant has sufficient documentation to proceed with the recording of this form. NAME (TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE DATE 10 TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENT FEES TOTAL FEES &TAX IMPORTANT: Once the application has been approved by the County Auditor / Vehicle Licensing Office, take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form, obtain a certified copy of the recorded form. APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees. Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to its services. If you need special accommodation, please cal (360) 902-3600 or TTY (360) 664-8885. TD -420-729 MANUF HOME APPL (R/2/00)OR (W)Page 2 of 2 • O O .9)d. oc \JJ w 0 ADDRESS ?ONE ROAD wIDT ERONi COMMENTS REvIEWEDKY Z.50 . ECi