1997, 03-27 Permit App 97001734 DoublewidePROJECT NUMBER= 97001734 APPLICATIPN DATE= 03/27/97 PAGE= 01
PROJECT NUMBER= 970111734 APPLICATION DATE= 03/27/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
----------------------------------------------------------------------------
SITE STREET= 18712 E EUCLID AVE PARCEL#= 55082.0131
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= REPLACE DOUBLE WIDE MANUFACTURED HOME
PLAT#= 002859 PLAT NAME= WEST FARMS IRRIGATION TR.PLAT
BLOCK= LOT= ZONE= UR 3.5 DIST#= G
AREA= 00000001 F/A= A WIDTH= 97 DEPTH= 211 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= ARNOLD, LARRY & ANNETTE PHONE= 509 922 1058
STREET= 18712 E EUCLID AVE
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= LARRY ARNOLD PHONE NUMBER= 509 922 1058
BUILDING SETBACKS: FRONT= 68 LEFT= 26 RIGHT= 100 REAR= 35
**********a******************* REVIEW INFORMATION *******a*********************
DEPARTMENT REVIEW REQUIREMENT
---------- --------------------------------------------------------------
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON DATE: 03/27/97
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
APPROVAL: SAME BEDROOM & LOCATION DATE: 03/27/97
CONTRACTOR= OWNER
MOBILE HOME PERMIT *************a*********+*****
PHONE=
YR/MAKE= 1996 SKYLINE MODEL=
SERIAL#= WIDTH= 28 LENGTH= 56 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 22.00
PERMIT TYPE
---------------
MANUFACTURED HM
FEE AMOUNT
-------------
126.50
-------------
126.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
AMOUNT PAID
------------
.00
------------
.00
AMOUNT OWING
-------------
126.50
-------------
126.50
PROJECT NUMBER= 97001734 APPLICATION DATE= 03/27/97 PAGE= 02
**++*****+ THANK YOU********+*******a**
SSo�d - o 1-3 /
y' APPLICATION.INFORMATION /
hal is the JOB SITE address? ASSESSOR'S tax parcel number?
E. 18711 EuclO
Legal description as it appears on the propok deed
S o rr- 1A)PSk'.& T6/U: -Mf jas-A_-e:u,} oa -Ager Trac -1
F LuT I .2 tS rrA S -Trr - -r SAI a I, eO z5f P I r, . 3 -
OWNER or OCCUPANT Phone
Carr — 9:Z�q -IbS
Mailing addrets t� City, state Zip
_F 137lX Eucll� Rii 07is0r R b-�
Who should we contact regarding this project? Phone
S"d-S c. Cty-3q-,�L3
What work is being done under this permit?
/one
Inspector distmt
propertysize
Kignt of way width
Water district
Building
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE AG
A State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
Haw high is the sign?
Year:
Make'
Installer,,,,�
Contractor
We State Contractor license If
We State Contractor license #
Mailing address
Lti
mail ipq roes
L((
Relocation
Fire Safety
Previous address
Fire Sprinkler _ Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
A State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel'Storage Tanks
Swimming Pool
(Circie 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
I.UMYLt I t ALL At't'LIL:ACLt INFUHMA 1 IUN
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or activities.
m
J
n
m
O 0❑
DD
in —
m
x °: o
y' W n 0_cp
go co
Qo CA o - • y
D
O O CD
a
n
cn
Cr
c �• p Qo
a_•CC) 0. co
cn Vf
m - 3
co m
s -4
0
w
❑❑❑
cn z c
a o n
— * m
0 3ca
Q.
o CU 0
c
a
C
m
N y.
:DNIM01103 3H1 30f113Nl
Pa /--e 0 od _ Pu(
,�P
\\::
_________,
tpt-
,0„,,
7Z.
›.
-',
.
)4
,
///1=7:
,
/N
ADDFESS:
i
ZONE:
i/,//",
<,-
N
NG:
/zrz
COMME
VTS:
1
-P
f; 7e
'vrslir
✓«
•.
H
REVIEWED
BY.
=
.
`>,
d�
-1
r
\,1
;
i
�l
ti
1-----7.l
/
,
\
r`
,
t
Co
(>
v
------)