1996, 06-21 Permit App: 96004687 MFH PROJECT NUMBER= 96004687 APPLICATION DATE= 06/21/96 PAGE= 01
A
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 324 N SHAMROCK ST PARCEL#= 45134.2305
ADDRESS= VERADALE WA 99037
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 005236 PLAT NAME= ARMSTRONG ESTATES
BLOCK= 2 LOT= 5 ZONE= UR-3.5 DIST#= F
AREA= 00012960 F/A= F WIDTH= 90 DEPTH= 1450 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= BOGGS, MELVIN Z/ PHONE= 509 922 0438
STREET= 14918 E 341810-CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= MELVIN BOGGS PHONE NUMBER= 509 922 0438
BUILDING SETBACKS: FRONT= 37 LEFT= 36 RIGHT= 30+ REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED ft:P— cTlik 46"t-
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COMMENTS: .` G , kb, -, Co
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ENGINEER APPROACH/ DRAINAGE/ FLOOD 4 'P
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER '7/% ,46
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 96/SILVERCREST MODEL=
SERIAL#= WIDTH= 26 LENGTH= 66 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
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PROJECT NUMBER= 96004687 APPL4CATION DATE= 06/21/96 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50 .00 126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
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ASSESSOR'S tax parcel number?
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What work is being done and this permit? ,
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lone Inspector district:: 'Property size Right of way width
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Water diistrict
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/ Building Building height *of stories
Contractor • DimensionsUARE FOOTAGE
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WA State Tactor license# Main floor area Unfinis bas�M area
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Mailing address 2nd floor area Finished basement area
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Arch ect/Engineer Garage area Size of decks,etc.
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What is the heat source? What is the cost of your project?�
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Manufactured Home Sign ;i'
Width: �/ Length: / What is the square footage of How high is the sign?
2 L� r / the sign face?
/'1 Year: Make:
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Installer Contractor
k)10 yr)f/
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
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.
PROJECT NUMBER= 96004687 APPLICATION DATE= 06/21/96 PAGE= 01
****** THIS 1.6.— $ A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 324 N SHAMROCK ST PARCEL#= 45134.2305
ADDRESS= VERADALE WA 99037
PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME
PLAT#= 005236 PLAT NAME= ARMSTRONG ESTATES
BLOCK= 2 LOT= 5 ZONE= UR-3.5 DIST#= F
AREA= 00012960 F/A= F WIDTH= 90 DEPTH= 1450 R/W= 50
# OF BLDGS= 1 # DWELLINGS:1, WATER DIST = VERA
OWNER= BOGGS, MELVIN,Z PHONE= 509 922 0438
STREET= 14918 E 33i1D-CT
ADDRESS= VERADALE WA 99037
CONTACT NAME= MELVIN BOGGS PHONE NUMBER= 509 922 0438
BUILDING SETBACKS: FRONT= 37 LEFT= 36 RIGHT= 30+ REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED drS I CA- -ikTTTkC` '&IT
COMMENTS: 7 V— 7t—(A7\f
ENGINEER APPROACH/ DRAINAGE/ FLOOD 4IP /,
it
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER Q
besiege system W;i ;►ry /`/ CG
COMMENTS:
kr bedroom* ®Aly:' (/�
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 96/SILVERCREST MODEL=
SERIAL#= WIDTH= 26 LENGTH= 66 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
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