2000, 01-10 Permit App: 00000174 MH W/BasementP_ of ect Number: 00000174 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/10/20 Page 1 of 3
Project Information:
Permit Use: DOUBLE WIDE MOBILE W /BASEMENT•FOR-
Setbacks: Front 60 Left: 85 Right: 33 Rear: 100
Site Information:
Plat Key: 002044 Name: PLAT "A" GREENACRES IRR.DIS
Parcel Number: 55073.1340
SiteAddress: 17120 E BALDWIN AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: SR -1
Water District:
Area: 2.00 Acres
Suburban Residential 1
Contact: VALERIY, TITOV
Address: 4614 N STANDARD
C - S - Z SPOKANE, WA 99207
Phone: (509) 484-6229
District: G
Owner: Name: VALERIY, TITOV
Address: 4614 N STANDARD
SPOKANE, WA 99207
Hold: ❑
Width: 265 Depth: 420 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
BUILDING
Comments:
Comments:
Review
Site Plan Review
Plan Review
dito
-
HEALTHDISTRICT Septic System Review
Comments:
ENGINEER Approach / Drainage
Comments:
PLANNING Landuse /Zoning
Comments: -€11\ 1 i "1"
Permits:
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0 i l.+sL f ,. if be t9t. 1
Project Number: 00000174
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/10/20 - Page 2 of 3
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 26 x 66 Building Sq Ft:
Req Parking: 0 Handicap Parking:
Description Grp
BASEMENT U R -3
Type Notes
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
0 Building Height: 8 Stories: 1
1716 Sprinklers: ❑
0 Critical Materials: ❑
This Application:
Total Project:
Su Ft Valuation Sq Ft Valuation
1,716 $19,836.96 1,716 $19,836.96
Totals: 1,716 $19,836.96 1,716 $19,836.96
Units Unit Desc Fee Amount
1 Y OR BLANK $288.00
1 Y OR BLANK $4.50
1 Y OR BLANK $63.36
Permit Total Fees: $355.86
Mechanical Permit
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
Manufactured Home
Firm: OWNER
Phone: (000) 000 -0000
Fee Amount
$10.00
$25.00
$35.00
Units Unit Desc
2 SECTIONS
Permit Total Fees:
Fee Amount
$100.00
$100.00
Project Number: 00000174 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/10/20 Page 3 of 3
Contractor: OWNER
Plumbing Permit
Firm: OWNER
Address: 0 Phone: (000) 000 -0000
000000, 00 000000
Item Description
CLOTHES WASHER
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Manufactured Home
Plumbing Permit
Notes:
Units Unit Desc
1 NUMBER OF
1 Select
Printed By: RMB
Permit Total Fees:
Fee Amount
$6.00
$29.00
$35.00
Print Date: 01/10/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$355.86 $355.86 $0.00 $355.86
$35.00 $35.00 $0.00 $35.00
$100.00 $100.00 $0.00 $100.00
$35.00 $35.00 $0.00 $35.00
$525.86
$525.86
$0.00 $525.86
_,q
ADDRESS
ZONE
ROAD WIDTH 40
FRONT_ %L2 FL ANKING
COMMENT
REVIEWE B
This site p'-- is beinc ! mitted for the purpose of
obtainiric a GuiI hg pemiit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water steep slopes or oiher critical areas.
Signed: ` /6(le✓c /� / /1--6)(Y
33 F71
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