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1995, 10-26 Permit App: 95008913 DoublewidePROJECT NUMBER= 95008913 APPLICATION DATE= 10/26/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17205 E COACH DR PARCEL#= 55192.1103 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT) PLAT#= MH0002 PLAT NAME= APPLE VALLEY ESTATES BLOCK= 4 LOT= 3 ZONE= UR -7 DIST#= F AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 127 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= TOETLY, GENE & BARBARA STREET= 17205 E COACH DR ADDRESS= GREENACRES WA 99016 PHONE= 509 922 3635 CONTACT NAME= GENE TOETLY PHONE NUMBER= 509 922 3635 BUILDING SETBACKS: FRONT= UNK LEFT= UNK RIGHT= UNK REAR= UNK ****,a************************* REVIEW INFORMATION *******k*k****** t********* t** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I ALTE}2ATION PERMIT APPROVAL: #58967 — 950829 — ATTACHED DATE: 10/26/95 BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE / ) A ././1 — �i t✓, COMMENTS: /:"<6/J� C� /1'€_ /// ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1980 CONCORD MODEL= SERIAL#= WIDTH= 24 LENGTH= 60 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 20.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING • PROJECT NUMBER= 95008913 APPLICATION DATE= 10/26/95 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 124.50 .00 124.50 124.50 .00 124.50 ******************************************************************************* * PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING ******************************************************************************* LABOR & INDUSTRIES ALTERATION PERMIT REQUIREMENTS MUST BE MET PRIOR TO OCCUPANCY OF MOBILE HOME. PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ******************************** THANK YOU ************************************ APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? 17205 E. Coach Dr., Green Acres, WA 99016 55192.1103 Legal description as it appears on the property deed Lot 3, Block 4, Apple Valley Estates, according to Plat recorded in Volume 9 of Plats, Page 26, in Spokane County, Washington 9,(1 - 032- 3ZOWNER OWNERor OCCUPANT Gene M. Toetly and Barbara J. Toetly Phone (509) G 2-2--- -6-.5, Mailing address 17205 E. Coach Dr., Green Acres, WA City, state Zip 99016 Who should we contact regarding this project? Gene M_ Tnetly or Barbara J. Toetly Phone (509) What work is being done under this permit? Manufactured home will be permanently affixed to real property one Inspector district -Property size Right of way width ater district Building Building height # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address -2nd floor area Finished basement area ArchitectJEngineer Garage area Size of decks, etc. What is the heat source? What is the cost of your project? !Manufactured Home Sign Width: 24 Length: 60 What is the square footage of the sign face? How high is the sign? Year: 1980 Make: CNCRD Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage Tanks Swimming Pool (Circle one) Above -ground Underground Size / gallons Private Contents of tank(s) Size / gallons Public/semi-private Contractor Contractor a State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. )(Total pages FEES 575.00 Serial -No- Original : t'ermtt .. No. 4 iN STRtl C: -r -IONS- I. 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 fee to the nearest L&I office. See list on reverse. 4. Contact and schedule the inspection with the same L&I office within 15 days. 58967 Invoice M CInsignia N/ Owner IasF name t 11rs1 stame Day ume phone la Address 1 Ct , 1 I ' r/ P- ? '--><?�= tri 11/1 pe� Installer/Contractor/Dealer Phone ( ) Date 99c/ ntractor's registration number Address Gty State ZIP+4 Check the appropriate boxes in section A and section B. A 0 Commercial Coach Serial No. ILI Mobile Home Serial No. HUD No. Recreational Vehicle or ❑ Park Trailer Serial No. Model No. or Plan::Approvai: No. B ZJ Alteration Inspection (check appropriate boxes below) Air Conditioning/Heat Pump Electrical Electrical Appliances 70/ Lk) • Fire Safety Gas Furnace Gasg Plumbing S tural ellet Stove - - Plari --RECiiew RV Inspection Reinspection Technical Inspection 570.00 570.00 550.00 550.00/hr Xazure of auth �r t�tive Make check payable to: Dept. of Labor & Industries FEES DUE $ attment use only> Request approved or 0"'Request :denied because 01 speciflc violations. of Washington rules and regulations Violations mustbe corrected and: reinspection> requested within 10- days:. for recreational vehicles: and 20 days for mobile homes and commercial coachesof the notice of violation date..' (This does not apply to: technical' inspections). Itis unlawful to offer for sale,. rent, or lease any non -complying; mobile home, commercial coach or recreational: vehicle.. _ .. - - - _ - - -L { l {Cs r=LL�1i ►::_ �1 GtG --1 -_ YZ6. . _cosi- .......0 - �.j� - -;ia 12. v = Lt,1. .. y -...t t_ _ .4-ic)r-tt .. _ .. � _. - _ _: Jca. _ i'4 oL.lCY�.L_ /dfiJiC.l ic:ti - - •t - _ _ _ _ 711f;. +. -1 F-4.0.11_ 3[.ti. - r! ?.. - S.tL,i.1la=.t_c w� �i _ AI F�cC iolL� S ✓4rL r�_ r� r_ _r.: ,:tet w.Lrr7 44,14. a.• tiC .lrlie+,=Ti .r.' :ri.F"v " FE1.tt-1---XkJ. - 4k-. • Siif�-1-- - (PG'tr RC -!i/ -.114'_. _.nS --•- Tt.�,-Cl.. �..1 .`I�RG _ a-:—�!✓r 11 �I 4, -tom- z':\..I1]=. CA11R.1 Uci.;�t . E1Included arc forms required which must be completed and fees submitted before reinspection: _Arca office inspector F622-012-000 alteration permit 4-95 Whitc-Olympia Green -Contractor Canary -Inspector Pink -Purchaser Goldenrod -Purchaser canerNlanutacturer Manufacturer No. Insignia of i C} 7. 9,1 0 A. Permit +P :, -) - J I t L L-f�G��.,�i 1 _ r: x�CJ Jr- �•:_._ ...c K -t _. _ J=••'aLe - - - - - __. JA e__--4.ee __L -I _af _�-�r4at.-.4.414-ii.. : C- - _--�1-.--r-~ _ Srr v� <s _,r�o.� . =u 7 C1 _ .r2 _ __ _s ��.�-.�, C- - �: - - Y atm: zc %v_�c� vc - v ._ r:.n. :, - _/1L _a _ _014)_-% 4e-rzt_e__ _ 1-7 l E /.424 -2 F622-007-000 Alt/Factory Permit Continuation 9/91 White -Olympia Canary -Inspector Pink -Contractor Goldenrod -Customer ADDRESS: 4 /2& .._, ,.. s ZONE: ufler- " ROAD WIDTH: Sa FRONT• ` FLANK! G. COMMENTS: REVIEWED BY. �-- /0 -- A F --/D '•—i V 3 /1,205 Cc ii % b r ©»