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1996, 07-23 Permit App: 96005806 MH PROJECT NUMBER= 96005806 APPLICATION DATE= 07/23/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 223 N SHAMROCK ST PARCEL#`= 45134.2204 ADDRESS= VERADALE WA 99037 PERMIT USE= NEW DOUBLE WIDE MOBILE HOME PLATO= 005236 PLAT NAME= ARMSTRONG ESTATES BLOCK= 1 LOT= 4 ZONE= UR-3.5 DIST#`= F AREA= 00010163 F/A= F WIDTH= 85 DEPTH= 120 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= STREBECK, DON K. PHONE= 509 928 7213 STREET= 223 N SHAMROCK ST ADDRESS= VERADALE WA 99037 CONTACT NAME= DON STREBECK PHONE NUMBER= 509 928 7213 BUILDING SETBACKS: FRONT= iC" LEFT= 41T. RIGHT= U04REAR= It) 5 o+' ****************************** REVIEW INFORMATION **********w****************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED ati. iA COMMENTS: I -2-3 •C ENGINEER APPROACH/ DRAINAGE/ FLOOD 7f - A A. % / COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER t) /ctLL_ T1 2/* COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1996 PALM HARBOR MODEL= SERIAL#`= WIDTH= 27 LENGTH= 64 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 22.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 96005806 APPLICATION DATE= 07/23/96 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 126.50 .00 126.50 126.50 .00 126.50 /6 PROCESSED BY: CAROL FRAZIER J-510 Sr) PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************ 0 , i as- -a, . K ; • �-�--r..-r-. - - •• ' �uT1O .,yrs � • 1 �• ..l .. n , ;,,�: . I I . I � �I • !, 5- III ' . +...::.F- - 'z 31F ` I UREA • - ' @7 1. 41 ts. .O[ITX(QOM OMOfYAL~CI 10 F C 0/OT:M .f [ dIM[A i r v 4 ,,i :; 1- _ - ...r\ I:\ - ` `; •. • g icp1 - -pw/k ME • 49-wi- B tX • "r.1! \•✓ _ '. — — — - - -1 -, ---1. �.. — s r r v I de 1 7 , I l �r t 1" f rij ri / rN�STALLOOUBIE Ne-15t L5 7 - USE 4'PVC PIPE ASTM , ', OS I ' .{ OR ASTM F789 AT 2%SLOPE'. {+ • . REFERENCE CAPP P..4 -I,• • 1 t 4.1 \ .I \ Sil ., ,: fr\___IL_ ' \ .e.z.„ __,. . • ._....., ./5' I rflR 4.4 1.0.,6 . I t \• J 1 _ _�•T.g1yC 1 , . ....' ......... ,_, z. 1 . .. CAP.. coak la t 1Q m eT�rL �s.41_.4. •O s•. 4WNW .. P4 2 3=. /�. i j S - , ' 5TU: TOTAL P.013 ! , APPLICATION INFORMATION What is the JOB SITE address? ASSESSORS tax parcel number? 21- '3 I') , hiii.-/-kt ROLL i//e1 1),4Lg- ; w'- ggv37 5jsi.3/, 2-`-z-0,1 Legal description as it appears on the property deed AR rr► s-74—X O A 6 E-S721 -re:5 -T y/ i3l. 'J, OWNER or OCCUPANT Phone ,ti K - 54-,et 13 C--F-e--k._ 9-z- - 7z /3 Mailing address City,state Zip z 2- 3 A) • Aivi-1 ,47s ilEx,,i Dg 46- , 'di. ,9037 Who should we contact regarding this project? Phone 2)D 11) K S1,26i e--4-- 2 — 77 /3 What work is being done under this permit? /rip-ivaP.9-e ue P /Ve147 lone Inspector district: Property size Right of way width a> 1 ,,, G vii 1 D Water district:.... / Building Building height #of stories.. B ' in ' 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 Home ` Sigrn:` 1 Width: Length: What is the square footage of How high is the sign?J 2 7 / 4 / he sign face? Year: ! Make: gel0 P/iLmro /�L/i4/ 3O/Z- Installer Contractor Q0-4'L/ 1f /T�e War(: �1�zac�license 4+ L Wa State Contractor license# Ma�na ade ) /0 r e /`` q c Mailing address l4,4- y &A) .2-ir ti YA-1,10 F 3S 3 c Relocation Fire Safet Y 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 11u;70l 3toragTa k� SwimmingPool (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. 4 • �:` �' lt‘.... 0 ' / , I TI . " IO . 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