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1998, 06-19 Permit App: 98005496 MHPROJECT NUMBER= 98005496 APPLICATION PROJECT NUMBER= 98005496 APPLICATION` DATE= 06/19/98 DATE= 06/19/98 PAGE= 01 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 6104 E 7TH AVE PARCEL#= 35242.2417 ADDRESS= SPOKANE WA 99212 PERMIT USE= INSTLL MANUFACTURED HOME PLAT#= 000341 BLOCK= 8 AREA= # OF BLDGS= 1 PLAT NAME= LOT= F/A= # DWELLINGS= OWNER= MALINAK, LLOYD STREET= 6104 E 7TH AVE ADDRESS= SPOKANE WA 99212 CONTACT NAME= JANE MALINAK BUILDING SETBACKS: FRONT= 55 CENTRAL ADD 11 ZONE= UR -3.5 DIST#= D F WIDTH= 130 DEPTH= 150 R/W= 60 1 WATER DIST = SPO CO WATER DIST#3A PHONE= 509 532 0607 PHONE NUMBER= 509 532 0607 LEFT= 27 RIGHT= 36 REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED APPROVAL: J LARSON HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: DATE: 06/19/98 Sewage system designed for 2- bedrooms only. LABOR & IN FIRE SAFETY INSPECTION COMMENTS: 6 t - 63/P1/4 dku4, ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 1989 KIT SERIAL#= ITEM DESCRIPTION PHONE= MODEL= WIDTH= 14 LENGTH= 67 HEIGHT= 10 INSPECTION FEE COUNTY SURCHARGE STATE SURCHARGE PERMIT TYPE FEE AMOUNT QUANTITY FEE AMOUNT 1 Y Y 50.00 11.00 4.50 AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 98005496 APPLICATION ' DATE= 06/19/98 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 65.50 .00 65.50 65.50 .00 65.50 PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON ******************************** 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 oMce within 1S days. ALTERATION PERMIT Do not complete shaded areas tan natne tint name Day time pho ( ) Date Address City State ZIP InrmlkrdComnctor/Defier Phone ( ) Contractor's registration number Address City State ZIP+4 Check the appropriate boxes in section A and section B. FEES r N. Air ❑ •Alteration Inspection (check appropriate boxes below) $ Air Conditioning/HeatPump PAUJ Electrical DEPARTMENT OF LABOR & INDUSTRIES Electrical Appliances Fire Safety Gas Furnace Gas Piping Plumbing Structural Wood/Pellet Stove — - dPlan Review RV Inspection Reinspection Technical Inspection A ❑ Commercial Coach Mobile Home Recreational Vehicle or ❑ Park Trade Serial No. Model No. $Flap P947' JUN 221998 ilCUWit SPOKANE, WA Signature of pelican% or authorized reptesmutive l ake check payable to: Dept. of Labor & Industries FEES DUE $ �b .tot aseanly it ./Proved or !Reqadsidenia%ecaea of titiielii vtoiat 6Z OS*, 9nd reinspection to u$gteil WI4Un to days for recreations) vehiclesand oc:'lhitnti ct Ztviolallon date v(Ttile di s totajitly to tecbnlcaiInspections) non cumplytag mhtiik home,tQnlme ogrh ne,reeteetional vghicle ,:.. gto abitind gntat1onn Vloattonsmusty p r4F.1toblk ho&-cummtr4m1 toachea Ilyw(s4 to offer( ltir sale, rent, or leasepny^ F622-012-090 alteration permit 11-97 a®n WhireAlympia Green -Contactor Canary -inspector Pink -Purchaser Goldenrod -Purchaser 4, . • v a 1 ADDRESS: de-e,,,,c, zge ZONE: ROAD FRONT: FLANKING: COMMENTS: REVIEWED SY: 67