2002, 04-12 Permit App: 02002542 MHProject Number: 02002542 Inv: 1
'Application
THIS IS NOT A PERMIT
Date: 4/12/2002 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT OF DOUBLE WIDE Contact: ALLIED CONTRACTORS
Address: 4620 N STARR RD
C - S - Z: OTIS ORCHARDS, WA. 99027
Setbacks: Front 43 Left: 15 Right: 34 Rear: 56 Phone: (509) 928-3003
Group Name:
Project Name:
Site Information:
Plat Key: 002144 Name: REMINGTON PARK AMENDED MAP District: D
Parcel Number: 35241.3715
Block: Lot:
SiteAddress: 7115 E 7TH AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -7
Water District:
Urban Residential -7
Owner: Name: QUEBODEAUX, ADELAIDE & AN
Address: 2241 LOVELL ST
CROWLEY, LA 70526-7111
Hold: El
Area: 11,430 Sq Ft Width: 90 Depth: 120 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review
Site Plan Review
.. .... .
Released
.....
•
.tr.
4I I WWI. Yar,
kt_ Ptto_9
Special Inspections
Released By:
Sewer Review
Released By:
Operator: DMD DMD Printed By: DMD
Print Date: 4/12/2002
Project Number: 02002542 Inv: 1
Application
THIS IS NOT .A PERMIT
Penalties will be assessed for commencing work without a permit
Date: -1/12/2002
Contractor: ALLIED CONTRACTORS OF
Manufactured Home
Firm: ALLIED CONTRACTORS OF SPO
Address: 4620 N STARR RD Phone:
OTIS ORCHARDS, WA 99027
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Payment en Summary:
umma
Permit Type
Manufactured Home
Units
2
Unit Desc
SECTIONS
Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$122.00 $122.00
(000) 000-0000
Fee Amount
$100.00
$22.00
Amount Paid
$0.00
$122.00 $122.00 $0.00
$122.00
Amount Owing
$122.00
$122.00
Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD
Print Date: 4/12/2002
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Department ofLabor & Indysgies
Factory Assembled Strlicmves Section
LINSTRIKTIONX:
1.Com
1 : R
plple e.4 apn{egt"^including'the e'Ignature box (marked with an ?Q.p
2. Diiwwa &sap op reverse side of*)RITE Copy, only,
3 Forwarelsompletea permlt and fes to the nearest,l&t office'. See list on reverse.
4, Contact find s4,edule the`iaspectinn with the same,],8&t office within 13Slays.,
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ALTERATION. PERMIT
.Do not comple& shaded areas ,_
AYMir' ._en"yp "i ....*
"Owner
nro
fort name
Daytune,
(SA
S[ cay
CpyekfheFFPropria(ebows 11344,4314iit
Sr
Sgtesi-. 1F.
tractors restetationnihs
,vn
& State. atitAet
andsection B 'M .. L . kFaa,
.,. ..
AIterati n lnspeghon (check aFropgatcbozes tieloyr�
Electrical ee
Elebfadal'Applfaocea(
Gas Fu}nacey
'Gas Pining', w .a-
13111 i3($g',>e t
"S£ructiva c
wood(fipll9tStoye
Plankdje`vi'*,--- _
k 1pspecnon'
I2einspeotion =' I
Tefhm$s(Inspebt}on
?mchase. `(fYon=refundab[e);,-.,..,
eciee6onel Veliiclkor
fssorau gic rresentalive ax,gf(gr+g
of tw Gorau reieseatati
Make chec(&'payp'b to; 1341
;FEE Slit/ .15
ndupires'
CALL 324-2640 FOR INSPECTION
PLEASE LEAVE NAME &
"9 ALTERATION PERMIT NUMBER
_v621 12-0oo
ADDRESS
ZONE WV
,T
FRON
COMMEN 3 ,
REVIEWED I
- ose of
iof thea and
in submitted collect
lat,ildtn9 permit and is true
Prooe mems
'This site P
°n sal, OA knovtures and se
obtaining a ea
�sIdimeb n the Mine
tap ns�ng. °��
lines,
indicated ate wetlands,
lhavea .hey critical areas.
have bin nC� steep si°Pes °•
bodies ' •
Si$
Date.
JSP
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