1994, 01-10 Permit App: 94000210 MHr �
PROJECT NUMBER= 94000210 APPLICATION DATE= 01/10/94 PAGE= 01
******
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
____________________________________________________________________________
SITE STREET= 9625 E 8TH AVE PARCEL#= 45202.1523
ADDRESS= SPOKANE WA 99206
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 001368 PLAT NAME= KELLOGG PARK SUB
BLOCK= 4 LOT= 4 ZONE= UR -7 DIST#= E
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 151 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= JACOBSON, ROY PHONE=
STREET= 710 S FARR RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LUCILLE POWELL PHONE NUMBER= 509 299 3770
BUILDING SETBACKS: FRONT= 44 LEFT= 44 RIGHT= 48 REAR= 30
xxxxxxxxxxxxxxxxxxxxx+++x+xxxx REVIEW INFORMATION xxx++x+xxxxxx+++++xxxxx+++xxx
DEPARTMENT REVIEW REQUIREMENT
__________ ___ _________________________________ n__^__ --------
BUILDING SETBACK REVIEW REQUIRED
Ili/✓C�IOMMENTS
}HEALTH --NE� OR
COMMENTS:
lea
WATER
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx MOBILE HOME PERMIT xxxx+xxxxxxxxxxxxxxx++xxxxxxx
CONTRACTOR= OWNER
YR/MAKE= 1994 WESTOVER
SERIAL#=
ITEM DESCRIPTION
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PHONE=
MODEL=
WIDTH= 26 LENGTH= 44 HEIGHT= 00
QUANTITY FEE AMOUNT
__--------- ----------
2 100.00
Y 4.50
Y 18.00
PERMIT TYPE FEE AMOUNT
_______________ _____________
MANUFACTURED HM 122.50
-------------
122.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
AMOUNT PAID AMOUNT OWING
____________ _____________
.00 122.50
____ _____________
.00
I
PROJECT NUMBER= 94000210 APPLICATION DATE= 01/10/94 PAGE= 02
♦w++���+++++w�������+�����+���� THANK YOU +<e•++++r: r;•+++a+:r•+�+:::::��::•
CVONIY NU..tl. or. WI 0Cre.. Rga,mi- al, way use— ' ,
n
performed i accordance with stakes. Points of ig,rc,n, a..d egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is r,quired,to move an existing building. When a building I. ruled on a County or Stat
Highway, clearance must be obtained from the County Engineer and/w.r-StatE Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sbeds, etc.) require a separate permit.
ad
whichlare enforceable throughBuilders
civilshould
notion. County officialaCaledonia
can not bringactiondedications
toaenforceaents coevenantsramming
or dedications
-\ APPLICANT FILL IN BELOW THIS LINE .,r 4dcd ai✓_ yaaCz,
Name of
Contractor szj 10i1.N.[i
Legal Description of Pro
DESCRIPTION OF WORK:
Rem of Lot /G6 X
(Frame, concrete, brick,
Rooms-. Baths _;:�_
Heal System
Use of Bldg.
Garage or Carpuf Atte,
Phase 9,2 Ti'-aL 2 x
Phone
etc.
_ Addition _ pdel Moving Bldg Zone / Fire Zone
Sewage System sd0�1� Stories n
G,Y (aO tai Sq. Ft. �G valuation OOa
Foundation Const. Chimney __ Fireplace —
ns) (Kind)//%% (N�u�mber
Reefing .Z�-P�e�. Ext. Finish Int. Wall Fitdsh,e%XL[iSL'd..—
_I'Ka — o.of LaR, Bedrooms .
Private Detatche
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or read locations; (3) 1 ation of existing a
proposed
m and star supply (4) distance to property lines aid streets; (5) dimensions of buildings; (6) location n sof sewage my
State License No.
NORTH
Ind. Ins. Acct. NO -
_o, j,
o..00ttj,(-p-�r t REQUIRED
*,v, vt D t� (�, 7� Plumbing Permit
O-- K Heating Permit
ADDr 5 �� Sewage Permit
ZONE
E ROAD WI TH: D ��a� Pla"s xe`e1"aa
jP/ Pians Checked
FR NT' � FLANKING: `Q'^plans Returned
COMMEN S: e
REVIEWE BY Z Q Plans Picked Up
Phs..v Mailed
_ 2 r A�Z6 s0
I hereb certify I I matlop bitted is correct and there are no other structures located es this property exe
as shown.. / /( / u._
Omer or Agot Date
A LAND USE OR STRUCTURE PERMIT MUSfifl� ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. � \TES
fl.. t, 1,; ,r..,: lan,...,'no DO NOT WRI ELOW THIS LINE
Tour street address will be 7 V .
Sewage Permit Numbe[ Issued
Remarks
form 523 Bldg. Code
sone Is
iptIndeed