1994, 05-18 Permit App: 94004504 MHPROJECT NUMBER= 94004504
******
APPLICATION DATE= 05/18/94 PAGE= 01
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
******
SITE STREET= ]7705 E BOONE AVE
ADDRESS= GREENACES WA 99016
PERMIT USE= INSTALL DOUBLE WIDE MOBILE HOME
PLAT#= 000129
BLOCK=
AREA=
# OF SLOGS= 1
PLAT NAME=
LOT=
F/A=
# DWELLINGS=
OWNER= RUDDACH, KARLA & JOE
STREET= 17705 E BOONE AVE
ADDRESS= GREENACES WA 99016
CONTACT NAME= KARLA RUDDACH
BUILDING SETBACKS: FRONT=
*************************
DEPARTMENT
BUILDING
COMMENTS:
PARCEL#= 55182.1520
BACON'S ADD TO GREENACRES
ZONE= UR 3.5 DIST#=
F WIDTH= 100 DEPTH=
1 WATER DIST =
G
90 R/W= 30
PHONE= 509 927 7993
PHONE NUMBER= 509 927 9993
LEFT%UN�N RIGHTTUN CR REAR=-ut ffN--
REVIEW INFORMATION ****************************
REVIEW REQUIREMENT
SETBACK REVIEW REQUIRED
ENGINEER 9W COUNTY
COMMENTS
ROAD
APPROACH
HEALTHDIST NEW OR ADDITIONAL
COMMENTS:
PLANNING
COMMENTS:
WASTE
WATER
SITE PLAN REVIEW
dina Cat 7
u
cam- 3z o -9 y 6
****************************MOBILE
CONTRACTOR= OWNER
YR/MAKE= 1994 GOLDENWEST
SERIAL#= WHS69F1
HOME PERMIT *******
PHONE=
MODEL=
WIDTH= 26 LENGTH= 56 HEIGHT= 00
r\bTb "CO( s AGM s 44 AS F. .ra csr frcott&
11151 (2• Sec
PROJECT NUMBER= 94004504
ITEM DESCRIPTION
APPLICATION
DATE= 05/18/94 PAGE= 02
QUANTITY FEE AMOUNT
PLNG-PERMIT REVIEW; 119 Y 21.00
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 143.50 .00 143.50
143.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JULIE SHATTO
.00 143.50
******************************** THANK YOU ************************************
- General Information
APPLICATION WORKSHEET
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Project Information 1
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1, Building Information
Number o . Dwellutp
Road width
Year 9'4 1•40thal
frietAc-4roold-enyDoc,i- Ad4-1'r-ea SA? A
w !en.. • el
72) raet \LTh ;C-) \IM‘R U EC) I 0 ('JO
Llwelling wu
Building dunensions
Occupant load
\
Building height
I ODI square tootage
care footage breakdown
a in floor
Second Iloor
Finished basement
Unfinished basement
Ua rage
Uncovered /covered deck
Lit her
Contractor Information'
Budding contractor
License number
Mailing address
City. stale, zap
Phone
Stones
Charge or use
Req'd parking I Handicap parking Spnaler system I Laical Matenal
Hestia and tosolaboo intonation R—val
Plumbing contractor
License number
Mailing address
City. slate. zip
Phone
Itesting contractor
License number
Mailing address
City. stale. zip
Phone
Other Lender
License number
Mailing address
City, slate, hp
Phone
11PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1096 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
I .I
•
ADDRESS: el [776,51 aoQ
• ZONE. - 3• ! • '
ROAD WIDTH: 3b
• FRONTFLA ING:
COMMENTS:
. REVIEWED B