1999, 10-01 Permit App: 99009287 MHProject Number: 99009287 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/1/99 Page 1 of 2
Project Information:
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Permit Use: SINGLE WIDE MOBILE HOME Contact: WOOD, SAM
Address: 1520 S DAVID RD
C - S - Z SPOKANE, WA 99212
Phone: (509) 534-2000
Site Information:
i�f:C.�'r1?fi4•S4LK�c7�a:R:ofc7lCfC�id`Jlicx3?r�i..;o3::.f.Y�}uiri:� Y<'%�?aa'a55r�:>f+'KY?.:�4Yi�&AYF:: twv5:;�.:<;:i4c;{»5<v�;.v,:;: <L.::w+n;4�.\.t>;;:ti�3: � �:: i:?4<.f53cc>ib+c:;:•.isiu�_:iu#ciFa;h•;::A;a£owp\y::::x;.y,::;:.<
Plat Key: 000323 Name: CARNHOPE ADD District: D
Setbacks: Front 25 Left: 28 Right: 10 Rear: 55
Parcel Number: 35232.4509
SiteAddress: 4602 E 7TH AVE
Spokane, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: WOOD, SAM
Address: 1520 S DAVID RD
SPOKANE, WA 99212
Hold: ❑
Area: 6,750 Sq Ft Width: 50 Depth: 135 Right Of Way (11): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,ka mao mutwm,? 02a0 3 xbx ;.,.:a<•,..a mummmnommmk.k.mi; asoara
40
Department Review
BUILDING Site Plan Review
Comments:
6,t 4 _o Labk
BUILDING Plan Review
Comments:
tL t -61(i
C:t:ikac hzd...
HEALTHDISTRICT Septic System Review
Permits:
Comments:
/6/6/97
WEER Approach / Drainage
Comments:
.( s ••-r-
t-tic ,� i ct. z plc IT)
Manufactured Home
Contractor: OWNER
Address: 0
000000, 00 000000
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
STATE SURCHARGE 1 Y OR BLANK
INSPECTION FEE 1 SECTIONS
COUNTY SURCHARGE 1 Y OR BLANK
Fee Amount
$4.50
$50.00
$11.00
Permit Total Fees: $65.50
Project Number: 99009287 Inv: I
•
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/1/99 Page 2 of 2
Payment Summary:
Operator: CKF
Permit Type
Manufactured Home
Printed By: CKF
Print Date: 10/1/99
Fee Amount Invoice Amount Amount Paid Amount Owing
$65.50 $65.50
$0.00 $65.50
$65.50 $65.50 $0.00 $65.50
Notes: .
Site Plan
IMF
1
2
z
1
1
c
5D
Tit
INCLUDE THE FOLLOWING:
derground utilities
f rth arrow
Septic tanks & wells
[3' All roadways, driveways & easments
0'Distances from center of roads, right of ways,
private roads & property lines
C"AII existing & proposed buildings
APPLICATION INFORMATION
What is the JOB SITE address?ASSESSOR'S tax parcel number?
(-ham) E 4(e02- --1 L X52.3 2 . �Go
Legal description as it appears on the property deed nJ j r
(feu h e /9-aaC (t0
OWNER or OCCUPANT Phone
(5/-rn P (�QD D V-100 0
Mailing address City, state Zip
/,5aa s ° A" kz' 6Pd &i -e 014— f -g -s -i1—..
Who should we contact regarding this project? Phone
40/1 10 .440,0 6-3 .2U6., c_3
What work is being done under this Ksra s501-,4/QoctlQ,c
- /►�ci(e 60:1- 0A0v,kaed l�m>z-
_
Inspector district
Property size
Hight of way width
(
i
r
Water district
Building
Building height
# of stories
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 \$ign
Width:
1
Length: What is the square footage of
5a 5 the,sign face?
How high is the sign?
Year:
19 76
Make:
14 sGf_
Installer Co
/ 4C1- A-nif .
tractor
Wa State Contractor license # W State Contractor license #
41/14._iling
Mailing address address
`-e s - :. - Fire Safety
Fire Sprinkler Tent
Previous address
Paint booth Fire Alarm Fireworks display
_
VALUE
Contractor Contractor
WA State Contractor license # WA State Contractor license #
Mailing address Mailing address
IGt sol Store Tankc ISwimminn Pnnl
(Circle one) Above -ground Underg•ound S,k.,, 1 yeilons
Private
Contents of tank(s)
Size / gallons
Public/semi private
Contractor Contractor
Wa State Contractor license # WA State Contractor license #
Mailing address Mailing address
�/l flA� AT1�111
(,UMI- Lt I t HLL HrrLR r-.DLE i
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.