HomeMy WebLinkAbout1998, 08-04 Permit App: 98007212 MHPROJECT NUMBER= 98007212 APPLICATION DATE= 08/04/98 PAGE= 01
PROJECT NUMBER= 98007212 APPLICATION DATE= 08/04/98 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
-----------------------------------------------------------------------
SITE STREET= 612 N SHAMROCK LN
ADDRESS= VERADALE WA 99037
PARCEL#= 45134.2706
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#=
005891 PLAT NAME=
LENNOX SUBDIVISION
BLOCK=
1 LOT=
6 ZONE= UR -3.5
DIST#= F
AREA=
00014649 F/A=
F WIDTH= 87
DEPTH= 138 R/W= 29
# OF BLDGS=
1 # DWELLINGS=
1 WATER DIST
= VERA
OWNER=
ROSENBROOK, JERRY
PHONE=
STREET=
612 N SHAMROCK LN
ADDRESS=
VERADALE WA 99037
CONTACT NAME=
JAY CORDES
PHONE
NUMBER= 509 499 0383
BUILDING SETBACKS: FRONT= 58 LEFT=
13 RIGHT= 15
REAR= 49
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
ENGINEER
COMMENTS:
REVIEW REQUIREMENT
---------------------------------------------------------------
SETBACK REVIEW REQ
U
APPROACH/ DRAINAGE/ FLOOD
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
"7A,(TIC5P-q LANE ---
*****************************
*************
CONTRACTOR= SEDROC CONSTRUCTION LTD PHONE= 509 747 1815
STREET= 2018 S GARDEN SPRINGS RD
ADDRESS= SPOKANE WA 99204
YR/MAKE= 98/MARLETT MODEL=
SERIAL#= WIDTH= 28 LENGTH= 60 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
INSPECTION FEE 2 100.00
COUNTY SURCHARGE X 22.00
STATE SURCHARGE Y 4.50
r
PROJECT NUMBER= 98007212 APPLICATION
PERMIT TYPE
---------------
MANUFACTURED HM
FEE AMOUNT
-------------
126.50
-------------
126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
I
AMOUNT PAID
------------
.00
------------
.00
DATE= 08/04/98 PAGE= 02
AMOUNT OWING
-------------
126.50
-------------
126.50
******************************** THANK YOU ***********************************
`PROJECT NUMBER= 98007212 APPLICATION � DATE= 08/04/98 PAGE= Ol
PROJECT NUMBER= 98007212 APPLICATION DATE= 08/04/98 PAGE= 0 1
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
-------------------------------------
SITE STREET= 612 N SHAMROCK LN PARCEL#= 45134.2706
ADDRESS= VERADALE WA 99037
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#=
005891 PLAT NAME= LENNOX SUBDIVISION
BLOCK=
1 LOT=
6 ZONE= UR -3.5
DIST#= F
AREA=
00014649 F/A= F
WIDTH= 87
DEPTH= 138 R/W= 29
# OF BLDGS=
1 # DWELLINGS=
1 WATER DIST
= VERA
OWNER=
ROSENBROOK, JERRY
PHONE=
STREET=
612 N SHAMROCK LN
ADDRESS=
VERADALE WA 99037
CONTACT NAME=
JAY CORDES
PHONE
NUMBER= 509 499 0383
BUILDING SETBACKS: FRONT= 58 LEFT=
13 RIGHT= 15
REAR= 49
****************************** REVIEW
INFORMATION *****************************
DEPARTMENT
BUILDING
COMMENTS:
ENGINEER
COMMENTS:
HEALTHDIST
COMMENTS:
REVIEW F�QUIREMENT
--------------------------------------------------------------
A*'
----
SETBACK REVIEW REQUIRE
APPROACH/ DRAINAGE/ FLOOD VLatoq�
NEW OR ADDITI
w�A
WASTE WATER
9
LIN
****************************** MOBILE HOME PERPIIT
.)ewage sysiem designed
for -1 bwrooms only.
CONTRACTOR= SEDROC CONSTRUCTION LTD PHONE= 509 747 1815_
STREET= 2018 S GARDEN SPRINGS RD
ADDRESS= SPOKANE WA 99204
YR/MAKE= 98/MARLETT MODEL=
SERIAL#= WIDTH= 28 LENGTH= 60 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- --
INSPECTION FEE 2 100.00
COUNTY SURCHARGE Y 22.00
STATE SURCHARGE Y 4.50
-gown on
inage
100 feet
n and
ess for
icludes
ns of
pipe per
or drop
les pass
septic
i.
DIRECTIONS TO SITE:
L
L
North
4
APPROVALS by Spot
Regional Health Distri
❑ Drainfield
❑ Leachbed
❑ Trench width
❑ Maximum trench d
❑ Minimum trench d4
❑ Cap fill inch
❑ Total gravel requir(
perforated pipe:_
❑ Five gallons of wat
required for "D" I
inspection
Comments:
Call (509) 324-1560
inspection before, cov,
If you cannot install
system according to
approved plan, you i
the office at (509) 3
to discuss BEFORE 1
INSTALLATION.
Signature
Date
v
L PPL.#:
SITE ADDRES
CONVENTIONAL TRENCH CROSS SECTION
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DIRECTIONS TO SITE:
L
L
North
4
APPROVALS by Spot
Regional Health Distri
❑ Drainfield
❑ Leachbed
❑ Trench width
❑ Maximum trench d
❑ Minimum trench d4
❑ Cap fill inch
❑ Total gravel requir(
perforated pipe:_
❑ Five gallons of wat
required for "D" I
inspection
Comments:
Call (509) 324-1560
inspection before, cov,
If you cannot install
system according to
approved plan, you i
the office at (509) 3
to discuss BEFORE 1
INSTALLATION.
Signature
Date
v
L PPL.#:
SITE ADDRES
CONVENTIONAL TRENCH CROSS SECTION