HomeMy WebLinkAbout1999, 10-14 Permit App: 99009874 MH •
Project Number: 99009874 Inv: 1 Application Date: 10/14/19 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Contact: ALLIED CONTRACTORS
Address: 4620 N STARR RD
Setbacks:Front Left: Right: Rear: C-S-Z OTIS ORCHARDS,WA. 99027
Phone: (509)928-3003
Site Information:
Plat Key: MH000 Name: APPLE VALLEY ESTATES District: G
Parcel Number: 55192.0912
SiteAddress: 17413 E 3RD AVE Owner:Name: SCHOCK,EUNICE L
GREENACRES,WA USA 99 Address: 17413 E 3RD AVE
Location::GRE GREENACRES,WA 99016-932
Zoning: UR-7 Urban Residential-7
Water District: 999 UNKNOWN Hold: ❑
Area: 7,805 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): `
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Department Review
BUILDING Site Plan Review
Comments: ` --t � ----�
BUILDING Plan Review _ M �Cv �5b n t
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Comments: -.-_---�•
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HEALTHDISTRICT Septic System Review p k - �,; zz �„ �7 _
Comments: 4 ke-_,_. ,zio!GK 7707,4- ,,v -
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Manufactured Home
Contractor: ALLIED CONTRACTORS OF SPO Firm: ALLIED CONTRACTORS OF SPO
Address: 4620 N STARR RD Phone: (000)000-0000
OTIS ORCHARDS,WA 99027
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
INSPECTION FEE 2 SECTIONS $100.00
COUNTY SURCHARGE 1 Y OR BLANK $22.00
Permit Total Fees: $126.50
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Project Number: 99009874 Inv: 1 Application Date: 10/14/19 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 10/14/1999
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $126.50 $126.50 $0.00 $126.50
$126.50 $126.50 $0.00 $126.50
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APPLICATION INFORMATION (c(
What is the JOB SITE address? ASSESSOR'S tax parcel number?
%--1 Li I3 E . 3 G«Z14 Ac sL:sAs1-1 99 00 6
Legal description as it appears on the property deed JS i
SArn o5 bbv L
OWNER or OCCUPANT Phone
ES.$C.k. 1
•*'ailing address City,state Zip
Srm E. ' S A INN.E.
Who should we contact regarding this project? Phone
�; Gti t.JA►��.�� 92%-3643
What work is being done under this permit?
,
Gone inspector.district Property size Right of way width
Water district
Building Building height , #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured. Sign
Width: , Length: What is the square footage of How high is the sign?
2414 the sign face?
Year: Make:
1999 �k-k-61.5.l.c_t
Installer (-1-.1 K Z wr 5*.* '��L Contractor
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Ake', tcc CA.sEcAc'}bcs Lien', & s
Wa State Contractor licens #L 4i tit s o212.3 Wa State Contractor license#
a.tEtS
A1. . � 1102.91.
Mailing address y(0 2, N. S-t"A r RA, Mailing address
CSE'' s t�rc4,w MI5 1la,s�+, 95c 27
Relocation : Fire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm _ Fireworks display
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
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uel •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# A 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.
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Site Plan
This site plan is being submitted for the purpose of ADDRE e_
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obtaining a building pe mit?nd is a true ed co Ted zo`v
representation of the p`oposal.All known `propertyI� W DTI I '�
linesldimensions, �u ines,structures and easements _ROAD
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have been identlfled.Also indicated are wetlania, — _________f- I G
bodies of vat:. , • •.- . • - • e —
Signed: _ .r_�- __
Date:
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings
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�YHEALTHADEPARTMENT
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Division'of Sanitatlion i-
titkittlir ' , :•-:111' I10 Jefferson Street ' ,, P` i.
• Spokane, Washington 9921 • 'DAT ='
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PERMIT NO. d 0�.a. iirVi cd'i A O' - 6 6
_ APPLICATION PLICATION FOR PERMIT TO 1NSTALL'-OR `REC' ' RJCT ® D SPOSAL FACILITIES
Yh, .' � i1 r:1: I .., • °AP h Address r/z -.;5,ziva„„ one No.1h11 S?3C
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Name . .� r • ,.//i, • t.• a':4 i fi,.
Address of Pio'
fid.- to (•`• / � am- r- 4 •
- - Type'of Use •I 7 is basement for bui`lding'plann'ed?
';Number of.Hedr :, ' ; ' -x Capacity7777, ,' 1 v Capa ity� �' u 1 Other
vR•r1*(1► 'WatgrSupply` C"'".A .:,_: ity.''Wel141SAFAI„g) g :1 s.
1io.tflf.,, C-4N , -:+ 341, : r7 / irt`j r`Ar {toy# sr*,LY' >tite t)r..!•;;;•;". c� e.:4� a.4:2.4y_
s optic tanktcatyp c gals tyle o *
3- i,filailt.
x r.. po- d ,<.: 6 t* neFits Tpaeh Bed
},Y, t.�Len th ofY 'M,, al # ' a__' __. Si-i.-rir-/.r _ "T" v 1 4,
(1) Show relative ation of: 'roilo7(ad,hogspi s+pp i. txte
• disposal' field, well.—gar age.,-and other.,:out .,_-_-__ 4 7J
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A'''''.:-.(2) Yheavy- slope,. swampy a i ce, .._ i. rte 1- .._
�Make note of as . ;orar nY �
,.•: , other important topographic details. V,y
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Amm
Installer 1 i i.' ' `, - .a�
Final Inspection Dat ,' � `�® — y'
Arligre'gr
Remarks: Adilliiiiir
C; O.
CONTRACTOR
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. - - - For Spokane County Health Department
FORM 746 6EV.MEAETB