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1995, 04-03 Permit App: 95001955 MHPROJECT NUMBER= 95001955 APPZICAT7.011?_ , DATE= 04/03/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1429 S WINTER RD PARCEL#= 45193.1116 ADDRESS= SPOKANE WA 99212 PERMIT USE= REPLACEMENT OF NEW DOUBLE WIDE MOBILE HOME PLAT#= 000568 PLAT NAME= CURTIS PARK CLUB TRACTS 1ST AD BLOCK= 1 LOT= ZONE= UR -3.5 DIST#= E AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 115 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= BLACK, KAREN L. STREET= 1429 S WINTER RD ADDRESS= SPOKANE WA 99212 PHONE= 509 922 7456 CONTACT NAME= KAREN BLACK PHONE NUMBER= 509 922 7456 BUILDING SETBACKS: FRONT= 60+ LEFT= 20+ RIGHT= EXIS REAR= 20 f4 REVIEW INFORMATION ***************************** ****************************** DEPARTMENT REVIEW REQUIREME BUILDING SETBACK REVIEW REQUIRED COMMENTS: yta z-/- 3- 9 _s HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: Ai/A © r` 5 ewe(' ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1995 MODEL= MODULINE SERIAL#= WIDTH= 28 LENGTH= 52 HEIGHT= 12 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 18.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 122.50 .00 122.50 122.50 PROCESSED BY: DAWN DOMPIER PRINTED BY: DAWN DOMPIER .00 122.50 PROJECT NUMBER= 95001955 APPLICATION DATE= 04/03/95 PAGE= 02 ******************************** THANK YOU ************************************ APPLICATION N- ORMATION What Is the JOB SITE address? ASSESSOR'S tax parcel numbs'? 1h2R s. I,t)/tut Legal description as it appears on the property deed OWNER or OCCUPANT ,</9-2eA L 2/gc% Mailing address Phone City, state Zip S. ZehAi 2 ✓ Ifo MA) e 60/1 S2ca/2 Who should we contact regarding this project? SAS e Phone What work is being done under this permit? MA/4 iihn 2e/ht-est hkopetty:: ' -,r IHog- A nttt cutaivit Buildinc Contractor Building height, Dimensions ^ # of stories TOTAL SQUARE FOOTAGE WA State Contractor license # Mailing address Main floor area Unfinished basement area 2nd floor area 'Finished basement area Architect/Engineer Garage area 7` Size of decks, etc. What is the heat source? ManUfaotured H6mE What is the cost of y'ourpto)aLhr ((ll tt}} t.e• .._.. n.. r•.. -gin.-^.+.... Sig Width: Length: S2' What is the -square the sign foal. Idow•.bigbda.,the•eign%sa .. Year: / 9'95 Make: mode/ova Installer // 4me/RicAu 4/44014/C /lines Contractor Wa State Contractor License # Wa State Contractor license # Mailing 'I' mg address Mailing address 5.23 Alley 0709(/ E. ctleva>l ee /crab Z_ Relocation-! Fire Safety , Previous address Fire Sprinkler _ Paint booth Fire Alarm Tent Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address FuelStorage Tanks wlmming Nooi (Circle one) Above -ground — Underground Contents of tank(s) Contractor Size / gallons Size / gallons Private Public/semi-private Contractor Wa State Contractor License # WA State Contractor license # Mailing address Mailing address p 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. en en D 6 m Site Plan 111111111111111111111111111111111111111111111111110211rMINIMMIMMI111111 11!1iii!iiTiI1I1i1HiF 11111111111 111111111 11111111111111111111111111 NE RI U' E t ST E IN EY T P v0 INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings ❑ Underground utilities ❑ North arrow O Septic tanks & wells