1996, 05-02 Permit App 96003042 MHPROJECT NUMBER= 96003042 APPLICATION DATE= 05/02/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 321 N DICK RD PARCEL#= 45183.0701
ADDRESS= SPOKANE WA 99212
PERMIT USE= INSTALL NEW MANUFACTURED HOME
PLAT#= 005776 PLAT NAME= SP -1027
BLOCK= LOT= 2 ZONE= UR 3.5 DIST#= F
AREA= F/A= F WIDTH= 124 DEPTH= 121 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= NYE, LINDA PHONE= 509 534 2933
STREET= 2502 S REVERTON #4 RD
ADDRESS= SPOKANE WA 99207
CONTACT NAME= LINDA NYE PHONE NUMBER= 509 326 2234
BUILDING SETBACKS: FRONT= 35 LEFT= 50 RIGHT= 15 REAR= 23
******************a*********w* REVIEW INFORMATION**********■,r,r*•********,r**w**
DEPARTMENT REVIEW REQUIREMENT
------------------------------------------------------------------------
BUILDING
SETBACK REVIEW REQUIRED
APPROVAL:
ENGINEER
J L�LARSO//N��
A OACH/ DRA NAGE/ FLOOD
DATE: 05/02/96
COMMENTS:
HEALTHDIST
NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING UNPLATTED/SEGREGATED PROPERTY
APPROVAL: SP -1027-95 DATE: 05/02/96
+xff***••*******+.************ MOBILE HOME PERMIT
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1996 EVERGREEN MODEL=
SERIAL#= WIDTH= 27 LENGTH= 56 HEIGHT= 10
PROJECT NUMBER= 96003042 APPLICATION DATE= 05/02/96 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 22.00
IMPACT FEE= PARKS - MH Y 400.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------------------- -------------
MANUFACTURED HM 526.50 .00 526.50
------------- ------------ -------------
526.50 .00 5226..50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
wxxxxxxxxxxxxwxwwxwxxxxxxxxxxxxx THANK YOU xxwxwwxwwxxxxxxxxxxxxwwwwxxxxxxxxxxx
APPLICATION INFORMATION �»
What K the JOB SITE address? ASSESSOR'S tax parcel number?
-
Lepal description as it appears on the property deed - — "ZZ2/ ,SF.NzT f
;y
OWNER or OCCUPANT Phone
Mailing address City, state Zip
Who should we contact regarding this project? Phone
What work is being done under this permit?
Zone
Inspector district
il'.i sae
Hight or way wl
ater district
Building
I Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE OO AG
A State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/ ngineer
Garage area
Size of decks, etc.
What is the heat source?
Whet is the cost of your project?
Manufactured Home
Sign
Width:
<�
Length:
What is the square footage of
the sign face?
How high is the sign?
Year: Make:
L' Xd%C
We State Contractor license #
We Stet, Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler _ Tent
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
A State Contractor license #
WA Slate Contractor license #
Mailing address
1 1
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground UndergroundSi-
/ gallons
Private
Contents of tank(s) Size / gallons
l�
Pubiicisemi-private
Contractor
Contractor
a State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
L;UMYLL I L ALL AYYLII:ACLt INFUHMA I IUN
Spokane County doe. not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
INCLUDE THE FOLLOWING:
All roadways, driveways & easments ❑ Underground utilities
Distances from center of roads, right of ways, ❑ North arrow
private roads & property lines ❑ Septic tanks & wells
All existing & proposed buildings
C,7,, A Y 4.. r "c4A M Y G
Z ZONE: e1R. 3 •B-
ROAD WIDTH: Yo
FRONT, S FLANKING:
COMMENTS:
REVIEWED BY.
prop
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Acid, Qi< (t J �A,«1 �g5/83-0701
MRY-02-1996 14:51 P.01
DATE 05/02/96 PAGE- Ol
pROJECT NUMBER-- 96003042 APPLICATION
trrrrr THIS IS NOT A PERMIT rrttra
PENALTIES WILL BE ASSESSED FOR COruiENCING WORK WITHOUT APERMIT
—--Y----
SITE STREET 321 N DICK RD
PARCELf- 45183.0701
ADDRESS= SPOKANE WA 99212
PERMIT USE= INSTALL NEW MANUFACTURED HOME
PLATE= 005776 PLAT NAME' SP-1027
LOTZONE= UR 3.5 DZSTf= F
BLOCK=
g/A= F WIDTH= 124 DEPTH- 121 R/W- 40
AREA=
I OF BLDGS= 1 f DWELLINGS= 1 WATER DIST =
OWNER- NYE, LINDA PHONE= $09 534 2933
STREET- 2502 S REVERTON 04 RD
ADDRESS= SPOKANE WA 99207
PHONE NUMBER= 509 326 2234
CONTACT NAME= LINDA NYE 1
BUILDING SETBACKS: FRONT- 35 LEFT= 50 RIGHT= 15 REAR= 23
ttrrs:rrrasrrrw:rt:rtrrrtatr:t REVIEW INFORMATION rtrr*trtrt*trattrttrt r*at+:tt
DEPARTMENT REVIEW REQUIREMENT -----------------------
----------
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J CARSON
RATE: 05/02/96 .
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS: %
HEALTHDIST NEW OR ADDITIONAL WASTE WATER _.
COMMENTS=
PLANNING UNPLATTED/SEGREGATED PROPERTY
APPROVAL: SP -1027-95
DATE: 05/02/96
herr+rt*r*•*t*rtrrtarrarrr rrt MOBILE HOME PERMIT rrtrrtrri.tttrrrrrtr►rarrrrrrt
PHONE=
CONTRACTOR- OWNER
YR/HAKE- 1996 EVERGREEN MODEL=
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