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1995, 09-15 Permit App: 95007364 MH PROJECT NUMBER= 95007364 APPLICATION ' DATE= 09/15/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** ij I PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 717 S STEEN RD PARCEL#= 45241. 9116 ADDRESS= VERADALE WA 99037 Go- 5b3 " X73' PERMIT USE= SINGLE WIDE MANUFACTURED HOME REPLACEMENT & DECK PLAT#= 999999 PLAT NAME= RANGE BLOCK= LOT= ZONE= UR-3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 200 DEPTH= 200 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= FORD, JANINE PHONE= 509 921 1151 STREET= 717 S STEEN RD ADDRESS= VERADALE WA 99037 CONTACT NAME= JANINE FORD PHONE NUMBER= BUILDING SETBACKS: FRONT= 25 LEFT= 5 RIGHT= 5 REAR= 20 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I PERMIT RM V k PC--� i i aE• a y3 I COMMENTS: I-/5_ BUILDING PLAN REVIEW REQUIRED r7 -------'-� COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE _64( y_..e_6-t(lli(pil(+1\IDel/IS` r COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER ©V.. L._l LkjL,Pj_��� COMMENTS: HEALTHDIST PRIVATE WELL REVIEW Cl) COMMENTS: PLANNING UNPLATTED/SEGREGATED PROPERTY % '" '/` R/ PROJECT NUMBER= 95007364 APPLICATION DATE= 09/15/95 PAGE= 02 COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= STORIES= BLDG W X D = 8 X 30 SQ FT= 240 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION DECK R-3 VN 240 1680. 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 39. 00 STATE SURCHARGE Y 4 . 50 RESIDENTIAL SURCHARGE Y 7 . 41 ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 77/KIT MODEL= SERIAL#= WIDTH= 14 LENGTH= 77 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 1 50. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 50. 91 .00 50. 91 MANUFACTURED HM 50. 00 . 00 50. 00 100. 91 . 00 100. 91 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN ******************************** THANK YOU ************************************ DATE= 09/15/95 PA(.17,= 01 PROJECT NUMBER= 95007364 APPLICATION , ****** THIS IS NOT A PERMIT ****** 1\ �j � 4 PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 717 S STEEN RD PARCEL#= 45241. 9116 ' 1 ADDRESS= VERADALE WA 99037 60.- 57)3 PERMIT USE= SINGLE WIDE MANUFACTURED HOME REPLACEMENT & DECK PLAT#= 999999 PLAT NAME= RANGE BLOCK= LOT= ZONE= UR-3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 200 DEPTH= 200 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= FORD, JANINE PHONE= 509 921 1151 STREET= 717 S STEEN RD ADDRESS= VERADALE WA 99037 CONTACT NAME= JANINE FORD PHONE NUMBER= BUILDING SETBACKS: FRONT= 25 LEFT= 5 RIGHT= 5 REAR= 20 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I PERMIT/F�RM�� `J ' ,r. - aiE a 43 i COMMENTS: q /59 BUILDING PLAN REVIEW REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: ��5 ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE , , iwif�lo, i COMMENTS: Jr *Ask HEALTHDIST NEW OR ADDITIONAL WASTE WATER , /M COMMENTS: GC /C/( / 4? J et) HEALVHDIaT PRIVATE WELL REVIEW 0 ' . :, s /n, r Y q / to ',_ a APPLICATION INFORMATION G\5---1 3 hoc 'What is the JOB SITE address? ASSESSOR'S tax parcel number? '---) C'7 SU Sri �, Rd ve,e ki-e , >9- 2i0.3t?' z-I5a6-//. 9/l 0 Legal description as it appears on the property deed 3 -n`/ 4c2.e'N OWNER or OCCUPANT Phone �¢3 n,v)-c K. ?-oQ q,-,2 /- I/57 Mailing address City,state Zip SPme F15 16- 170,1-( Who should we contact regarding this project? Phone .3-P'I c k! /=vk1 What work is being done under this permit? } -,,,I< fK..-./ �J k (. . t—j c (Y)011 ,/Le lone Inspector district Property size Night of waydth 2 Water district :> a ..a a0.) Building Building height #of stories ;>: ........._................... . Contractor ................_.............. ........._.._...... Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license# Main floor area Unfinished basement area Mailing address 2nd floor are Finished basement area Architect/Engineer Garage area Size of decks,etc. �X What is the heat source? What is the cost your project? Manufactured Home S,, n Width: Length: What is the square footage f • How high is the sign? the sign face? 1 4-/ '7C.) Year: Make: y Installer Contractor Cou.k4sec)� enobi-e trio ueK5 . W State Corlractor license# Wa State Contractor license# cam' 11.1/n ..?L .�l L• Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent Ii S/a o -in if ,.'€,1J) - 7(y Paint booth_ Fire Alarm _ Fireworks display o,)eA.f ,-,)A- I ?ol,, VALUE Cotitractor ( Contractor C 8 KK 4 4ai..k +n u bl.e N,),, S ek,,,,-, WA State Contraetbr license# WA State Contractor license# Mailing address Mailing address 9 a -l3K, 2,Y(-/ - 5U (1,. ' , Fuel Storage Tanks Swimming''Pool: , (Circle one) Above-ground Underground Size/gallons Private Contents of tank(s) Size/gallons Public/semi-private Contractor Contractor Wa State Contractor license# WA State Contractor license# Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. vlett •Y' 4. . .„, 32,.: „. -7 crr f .10 VW