1997, 09-10 Permit App: 97006819 MHPROJECT NUMBER= 97006819
PROJECT NUMBER= 97006819
APPLICATION DATE= 09/10/97
APPLICATION DATE= 09/10/97
a
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 422 S PARK RD
ADDRESS= SPOKANE WA 99212
PARCEL#= 35241.3318
PERMIT USE= DBL. WIDE MOBILE HM.DURING REMODELING OF EXIST HOME / TEMPORAR
PLAT#= 002144 PLAT NAME=
BLOCK= 1 LOT=
AREA= 00000000 F/A=
# OF BLDGS= 4 # DWELLINGS=
OWNER= BREZA, DEBBIE
STREET= 422 S PARK RD
ADDRESS= SPOKANE WA 99212
REMINGTON PARK AMENDED MAP
ZONE= UR -7 DIST#= D
F WIDTH= 135 DEPTH= 135 R/W= 60
1 WATER DIST =
CONTACT NAME= ZAN BREZA
BUILDING SETBACKS: FRONT= 30 LEFT= NA
PHONE= 609 924 8326
PHONE NUMBER= 509 924 8326
RIGHT= 30 REAR= NA
****************************** REVIEW INFORMATION **A-**************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
,40taz, A,07
HEALTHDIST NEW OR ADDITIONAL WASTE
COMMENTS:
WATER 0k N r
�
P s
id, , 7
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1970 COLUMBIA
SERIAL#=
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 20 LENGTH= 40 HEIGHT= 00
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM
126.50
126.50
QUANTITY
2
Y
Y
AMOUNT PAID
.00
.00
FEE AMOUNT
100.00
22.00
4.50
AMOUNT OWING
126.50
126.50
a
PROJECT NUMBER= 97006819 APPLICATION DATE= 09/10/97 PAGE= 02
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
MOBILE HOME FOR STORAGE USE ONLY
MOBILE HOME MUST BE REMOVED PRIOR TO OCCUPANCY OF
REMODELED RESIDENCE
SEPARAGE PERMITS ARE REQUIRED FOR REMODELING OF RESIDENCE
PROCESSED BY: JULIE SHATTO
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
SEP -04-1997 08:20
egal Description:
rvision/Block/Lot:
P.01
FINAL AS -BUILT INSTALLATION
r� 22- ifiee £2. - S/See - 77z, z
�2. / 33/'
/ 3 - --11pplication #: ?7-02v
NORTH
t
3'
3
et' -2)moo°
—113
(1
Io
L L
-?fie
` ..
- pis ,e -A&) d
‘di`-rGi/ //A/.4
Note: The location of the on-site sewag
construed as an exact location of the sy
Remarks:
FJtiRf
represented by the drawing is not to be
771`i
/LT
Signature:
Date:
foal 2
,Sv&r1,7 AS
Septic Tank Size: gals.
Drainfield:
rt.
Leachbed: p� �-f- sq. ft.
Density is based on soil type:
Double Plumbing: , Yes ❑ No
On-site Sewage Disposal System Informational Review
NOTICE
The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health
District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health
District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner /
representative to obtain a building permit for this property. At the time that a building permit is applied for the subject property must
comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a
permit for the on-site sewage disposal system by the Spokane County I lcalth District, pursuant to this Conn. Accordingly, although as of
the date of this docwnent the subject property may meet certain state or local laws, ordinances or regulations, in the event such items
change between the date of this document and application for a building permit, the owner / representative will be responsible for
meeting such regulationsio�in effect on the �d(ate off the application for the building pennit.
Street Address: 44 `x.n 5. f°, 1� `` '
Parcel Number: c 1� i. 56)7,—
Legal
6i t,
Legal Description:
(,ter
Property Owner: L h V g
Mailing Ad l.J a Ne- AS
Signature:
Phone: i/i.k3i/
Date: ra,5
PLANNING DEPARTMENT
N/4- Dedicatory language within plat
[JSubject property is legally divided
rio
Certificate of exemption required
Use authorized under the Zoning Code
Setbacks meet Zoning Codes requirements
Shorelines pennit required
A Variance reired for the following reason:
Other: %i .-41:-t 1.4 - Lt-' I 42
y� "I, I'4 kJ? ..r i. /1„6,--e--f- .4:,
by: //�•ZLt7-'!`---- Date:
IV
CSL
DIVISION OF ENGINEERING
Reviewed by:
0 Site drainage review required
Maintained county road
Approach permit required
0E Flood zone
NO Variance requirements
Other :
Date: �ivY ('r_
DIVISION OF BUILDINGS
TRANSACTION #\— \� \
the Division of Buildin has advised the pro erty owner / representative that an in depth review may be necessary when a formal
building pennit applic ion is submitted.
Reviewed by: Date: 1/� SA
�Y