The URL can be used to link to this page

1998, 08-11 Permit App: 98007637 MHPROJECT NUMBER= 98007637 APPLICATION DATE= 08/11/98 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17303 E 5TH AVE PARCEL#= 55192.1607 ADDRESS= GREENACRES WA 99016 PERMIT USE= RELOCATE SINGLE WIDE MOBILE HOME (REPLACEMENT) PLAT#= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD. BLOCK= 1 LOT= 7 ZONE= UR -7 DIST#= G AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 130 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= HOFMAN, DAWN & JURIAN STREET= 14121 E SPRINGFIELD AVE ADDRESS= SPOKANE WA 99216 PHONE= 509 922 0917 CONTACT NAME= DAWN OR JURIAN HOFMAN PHONE NUMBER= 509 922 0917 BUILDING SETBACKS: FRONT= 25 LEFT= 45 RIGHT= 10 REAR= 35 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I SAFETY PERMIT REQUIRED COMMENTS: BUILDING SETBACK REVIEW REQUIRED 70i o /L t/4 APPROVAL: J SHATTO DATE: 08/11/98 HEALTHDIST NEW OR ADDITIONAL WASTE WATER Z5/14/... 4---'1 t a_4) COMMENTS: (a) d 4 D -I-P-7 P-'9? ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= UNKNOWN STREET= UNKNOWN ADDRESS= UNKNOWN WA UNKNOWN PHONE= YR/MAKE= 1974 ADRIAN MODEL= SERIAL#= WIDTH= 14 LENGTH= 65 HEIGHT= 00 ITEM DESCRIPTION INSPECTION FEE COUNTY SURCHARGE STATE SURCHARGE QUANTITY FEE AMOUNT Y 1 50.00 11.00 4.50 PROJECT NUMBER= 98007637 APPLICATION DATE= 08/11/98 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 65.50 .00 65.50 65.50 .00 65.50 ******************************************************************************* * PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING * ******************************************************************************* L & I SAFETY 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. 4 ALTERATIONDnotPERMIT Owner last name first name i I Day tune phone ) 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. Commercial Coach B 1:11 Alteration Inspection (check appropriate boxes below) $ Electrical cPARTMENT OE LABOR & INDUSTRIES Electrical Appliances Fire Safety Gas Furnace Gas Piping Plumbing Structural ilispOPellet Stove — _ Plan Review RV Inspection Reinspection Technical Inspection FEES Au saimeasamenagaVitimet Si4i.‘la4zOila4MR6ZigibAROliceMS:.: U Mobile Home Recreational Vehicle or U Park Trailer Z:M:i.:::ti:44Z:n!?-"XUCS:g:ZEIN:4i,,,:%M.:, • ki#304gukBOWAritiOXiktgfRffigROM nOtonapeiNaMmtaa Air Conditionireat Pump Ale AUG 1998 0 SPOKANE, WA §Ogibicommem wan aitlEaga PISAK?Ors 10%& 'Signature of applicant or authorized representative \_3( ii s ,...,,..,....JMt , .•„15400194#90 .,•:.m., diskdenkd f9114,ct$$,.ltk514•:111504:# Ilif.6300**0014* ......,010044!?041 „...storlitte...0014M4RW:',1, ititilifil6MousitiiiiiiiitettgliPeis.....:,„,..„ gt.0....,,,Pinibil(401".,...Iiiiiii:10)::.:021,)71,02211114,01165111eli Make check payable to: Dept. of Labor & Industries FEES DUE $ o 0 IMMOMISIONSIP v. ,..409PC34010,0*Mi homes,.and 14.0#046$4401, •forritile01;Wgkin 'fa _d egress. :AUNTY ROADS. Work on street right-of-way may not ;€.rformed in accordance with stakes. Points of ingr MOVING OF BUILDINGS. A permit is required to move tghway, clearance must be obtained from the County £.CCESSORY BUILDINGS. Accessory buildings (garages, RESTRICTIVE COVENANTS. Builders should check provis Tnich are enforceable through civil action. County APPLICANT be performed until staked by County Road Department and work must be ess and egress must be apOroved by the County Engineer. an existing building. When a building is moved on a County or State Engineer and/or State Highway Department. sheds, etc.) require a separate permit. ions of covenants or dedications and easements running with the land Officials can not bring action to enforce covenants or dedications. FILL IN BELOW THIS LINE dame of Owner Architect Enginee Contractor /1, Address Address Phone AddressQD Phone Address G 2. 174-1.<44444).411 Phone Ara Phone 2217-62-L-3 Legal Des r'ption of Property (Give complete description from deed, tax receipt, e7t;F 1 -1� C * J / � y� L� �1/ -0,71. 1 2— Ufa --i' 410 DESCRIPTION OF WORK: New A Addition Size of Lot 7� 'i ? Stories _4—Dimensions Rooms Baths Heat. System Use of Bldg. Remodel Moving Sewage System Bldg. Zone / Fire Zone Stilt /. stil Fonst. Fr., Conc., Br., etc.) :1) /V x � (c. Total Sq. Ft. Valuation I J.j©0U Basement '— O Foundation Const (Full, part, none) �� A 1 Typef Roofing *-3-}-14 Ext. Finish 'N7y'z/$ _,-'L? o 00 -- tftI' 1t (7 544.4 }-1 Chi ee PLOT PLAN Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. mney Ar- ( ind) Int. Wall Finish Fireplace — O — (Number No. of Units _ Bedrooms NORTH I as shown SOUTH certify information submitted .'s RESIDENTIAL — COMMERCIAL Je (;: C correct and there are no other structures c5to PRI) m -4 State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked &LI° P1 Ret�d is etttTT�-Up located on C '7 this property except Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Dat,k / CONSTRUCTION COMMENCES. Tour street address will be Sewage Permit Number Issued Remarks zzi ( 7? Building Permi f'✓c_<-e The zone d)/1 Receipt Issued