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