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1997, 05-28 Permit App: 97003563 MH PROJECT NUMBER= 97003563 APPLICATION DATE= 05/28/97 PAGE= 01 PROJECT NUMBER= 97003563 APPLICATION DATE= 05/28/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 9403 E 12TH AVE PARCEL#= 45203. 0415 ADDRESS= SPOKANE WA 99206 PERMIT USE= SINGLE WIDE MOBILE HOME PLAT#= 002378 PLAT NAME= SIESTA MOBILE PARK ADD BLOCK= 4 LOT= 11 ZONE= UR-7 DIST#= F AREA= 00000000 F/A= A WIDTH= XQ iy-DEPTH= 100 R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= GOBIN, DORRIS EUGENE PHONE= 509 928 9526 STREET= 9403 E 12TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= GENE GOBIN PHONE NUMBER= 509 928 9526 BUILDING SETBACKS : FRONT= UNK LEFT— UNK RIGHT= UNK REAR= UNK ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS : HEALTHDIST INCREASE IN LOT COVERAGE4? _ .e p G .0/V‘ COMMENTS : �, 0!' g- /9C 44 &izDr'7‹, 5/21/F7 ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1968 BROOK MODEL= SERIAL#= WIDTH= 12 LENGTH= 58 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 1 50.00 COUNTY SURCHARGE Y 11. 00 STATE SURCHARGE Y 4 .50 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 65 . 50 . 00 65.50 65 . 50 . 00 65 . 50 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER PROJECT NUMBER= 97003563 APPLICATION DATE= 05/28/97 PAGE= 02 ******************************** THANK YOU ++4 -**+- +**+ 4-+++*+****************** ADDRESS ZONE �-Z ROAD WIDTH FLANKING FRONT__ :: COMMENTS-----t� �;�rc► c� REVIEWED ti a 0.4 .11 7.i 39 gift fr r�,�' AVE-