1998, 02-05 Permit App: 98000775 MHPROJECT NUMBER= 98000775 APPLICATION p DATE= 02/05/98 PAGE= 01
******
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 620 N SHAMROCK LN PARCEL#= 45134.2705
ADDRESS= VERADALE WA 99037
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
OWNER=
STREET=
ADDRESS=
005891 PLAT NAME=
1 LOT=
00012111 F/A=
1 # DWELLINGS=
JILGE, RICK
1212 S GROVE RD
SPOKANE WA 99206
CONTACT NAME= KEN EWING
BUILDING SETBACKS: FRONT= 30
LENNOX SUBDIVISION
5 ZONE= UR -3.5 DIST#=
F WIDTH= 87 DEPTH=
1 WATER DIST = VERA
LEFT= 5
F
138 R/W= 29
PHONE= 509 747 7696
PHONE NUMBER= 509 629 2246
RIGHT= 5 REAR= 25+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING HOLD FOR WATER & FIRE
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/ DRAINA
COMMENTS:
FLOOD
„R./3/1X
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
7-01/Attiu 240i9
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 97/MODULINE
SERIAL#=
PROJECT NUMBER= 98000775
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 28 LENGTH= 60 HEIGHT= 10
APPLICATION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE
MANUFACTURED HM
FEE AMOUNT
126.50
126.50
PROCESSED BY: BURRIS, ROBIN
DATE= 02/05/98 PAGE= 02
QUANTITY FEE AMOUNT
2
Y
Y
100.00
22.00
4.50
AMOUNT PAID AMOUNT OWING
.00
126.50
.00 126.50
c
ADDRESS !V , CQZ0 S i'h0? 4cc-L_
• fes, ,J ZONE LA -ie --3 c3
ROAD WIDTH Zq
FRONT 30 FLANKING_
COMMENT Mb.
REVIEWED BY
Y-)
r
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. AU known property
lines/dimensions, curb lines, structures and easements
have been identifi - . Also i •'cated are wetlands,
bodies of wat- ste p slo,f- .r other critical ereas.
Signs a: 1��
Date:
r t
FEB -09-1998 07:08
rxvwLw vuu 1 0 o
ArWLJA ATiON _ 'DATE= OZ/05/98 PAGE= 01
•'***i THIS IS NOT A PERMIT •*****
PENALTIES WILL BE ASSESSED FOR vcoNs CING WORK WITHOUT A PERMIT
SITE STREET= 620 N SHAMROCK LN PARCEL.= 45134.2705
ADDRESS— VERADALE WA 99037
PERMIT USE- NLN DOUBLE WIDE MANUFACTURED ROMS
PLATS= 005891
BLOC*. 1
AREAS 00012111
f OF BLDGS= 1 6
PLAT NAME= LENNOX SUBDIVISION
LOT= 5 IONE• UR -3.5 DIM.= F
F!A• F WIDER= 87 DEPTH 138 R/W" 29
DWELLINGS= 1 WATER DIST — VERA
OWNER= JILGE, RICK
STREET= 1212 9 GROVE AD
ADORERS— SPOKANE NA 99206
CONTACT NAME= KEN EWING
BUILDING SETBACKS: FRONT= 30
•••
DEPARTMENT
PHONE= 509 747 7696
PHONE NUMBER= 509 629 2246
LEFT= 5 RIGHT= 5 REAR= 25+
REVIEW INFORMATION '*****s""•••
REVIEW REQUIREMENT
BUILDING HOLD FOR WATER i FIRE
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
OICt� it-rA D
L4- - .z151 eK
ENGINEER APPROAC$/ ORAINA ! FLOOD
COMMENTS: C 0`
wt.. Tom. z•�-?a'
0
HEALTBDIST NEW OR ADDITIONAL WASTE WATER
De tysio.:u ilea;;
C0mME$TS :
CONTRACTOR= OWNER
YR/MAME• 97/MODULINE
SERIAL#=
bedfooms orgy.
MOBILE SOME PERMIT
******•****••****•***i***•iii
PHONE=
MODEL=
WIDTH= 28 LENGT8. 60 HEIGHT= 10
PROJECT NUMBER= 98000775 APPLICATION DATE= 02/05/98
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE
COUNTY SURCBARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED NN
126.50
126.50
PROCESSED BY: BURRIS, ROBIN
2
Y
Y
100.00
22.00
4.50
MOUNT PAID AMOUNT OWING
.00
------*
.00
126.50
126.50
PAGE• 02
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