1998, 04-28 Permit App: 98003432 Relocate MHPROJECT NUMBER= 98003432
APPLICATION- DATE= 04/28/98 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 5113 E 5TH AVE
ADDRESS= SPOKANE WA 99212
PARCEL#= 35231.1232
PERMIT USE= RELOCATE DOUBLE WIDE MANUFACTURED HOME (REPLACEMENT)
PLAT#= 000325
BLOCK=
AREA= 00000000
# OF BLDGS= 1 #
PLAT NAME=
LOT=
F/A=
DWELLINGS=
OWNER= NEVIN, WALTER
STREET= 3816 S SHERMAN ST
ADDRESS= SPOKANE WA 99203
CONTACT NAME= WALT NEVIN
BUILDING SETBACKS: FRONT= 2� LEFT= 5 RIGHT= 20 REAR= 35
***************************4 * REVIEW INFORMATION
CAROLINE ADD.
ZONE= UR -3.5 DIST#= D
F WIDTH= 50 DEPTH= 120 R/W= 40
1 WATER DIST =
PHONE= 509 838 1746
PHONE NUMBER= 509 838 1746
DEPARTMENT
BUILDING
COMMENTS:
BUILDING
COMMENTS:
PLANNING
COMMENTS:
*****************************
REVIEW REQUIREMENT
L & I SAFETY PERMIT REQUIRED
yrs
SETBACK REVIEW REQUIRED
Qi
; q,c
INADEQUATE FRONT YARD SETBACK
********************** ****** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1977 REDMOND
SERIAL#=
ITEM DESCRIPTION
PHONE=
MODEL= EATON PLACE
WIDTH= 24 LENGTH= 60 HEIGHT= 00
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
PROJECT NUMBER= 98003432
QUANTITY
2
Y
Y
FEE AMOUNT
100.00
22.00
4.50
AMOUNT PAID AMOUNT OWING
APPLICATION
DATE= 04/28/98 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
.00 126.50
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
L & I INSPECTION MUST BE CONDUCTED AND CORRECTIONS MADE,
IF ANY, PRIOR TO OCCUPANCY
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
Department of Labor & Industries
Factory Assembled Structures Section
INSTRUCTIONS:
1. Complete all spaces, Including the signature box (marked with an X).
2. Draw a map on reverse side of WHITE copy only.
3. Forward completed permit and fees to the nearest L&I office. See List on reverse.
4. Contact and schedule the inspection with the same L&I office within 15 days.
y
Ownei last name first name Day time phone
( )
T
1 /',
ALTERATION PERMIT
Do not complete shaded �areas
Date
Address City
State ZIP
Installer/Contractor/Dealer
Phone
( )
Contractor's registration number
Address City
State ZIP+4
Check the appropriate boxes In section A and section B. FEES
A ❑ Commercial Coach
Mobile Home
CIRecreational Vehicle or ❑ Park Trailer
B ❑ Alteration Inspection (check appropriate kgs below) $
■
1
■ Electrical Appliances
■ Fire Safety
■ Gas Furnace
■ Gas Piping
■ Plumbing
■ Structural
■ Wood/Pellet Stove — —
Air Conditioning/Heat FST OF LABOR & It`DIJSTR1l S
Electrical
Plan Review
RV Inspection
Reinspection
Technical Inspection
APR 2 8 1998
6 •
SPOKANE, WA
C Signature of applicant or authorized representative
▪ Make check payable to: Dept. of Labor & Industries
FEES DUE $
:OW
401d hecatise 07 specific
Girt i� daysl X fete ntionr,
not aptly td technlcbl In
'ach of t'C'WA
binttomtlst
mmerciaf coaches4,
i r leuse„aay r. x
F622-012-000 alteration permit 11-97
eea
White -Olympia Green -Contractor Canary -Inspector Pink -Purchaser Goldenrod -Purchaser
APPLICATION INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
hat is the JOB SITE address? ASSESSOR'S tax parcel number? Cztt m
5/ L r s z 0 5-a; j, /2Z cYf36
Legal description as it appears on the property deed
Ne i/L i1/� e °F- �e/eN I
OWNER or OCCUPANT Phone
,sVr2Vcft/ (/1 '` c5& 3 '/7 Zfjo
Mailing address City, state zip
5, 3 C, ,S-il,° 5PD f ci4 f2/>° W,4- 3 87 '7 4
ho should we contact regarding this project? Phone
What work is being done under this
.50.u, --en ; tit/ -r' 4 k= .ec,,
permit?
Joe rt SIvo to f20 r�
one
nspec or
is n
rope size
-Right of way width
.,'c
c
ater district
Building
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
. (3
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 Home
Sign
Width:
) if /
Length:
LJ
tC
What is the square footage of
the sign face?
How high is the sign?
Year: y/1z.j77
/7 7 d _
J
Make: Aleeame lro`Yr{'
�4 l'o h 4 c. e
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
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
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
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
o�
Re -dm 140-01,cif rwi 77
511 5_171 , ter 6' a
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