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1993, 06-03 Permit App: 93004270 MHPROJECT NUMBER= 93004270 ****** APPLICATION DATE= 06/03/93 PAGE= 01 THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17303 E BOONE AVE ADDRESS= GREEN ACRES WA 99016 PERMIT USE= PLAT#= BLOCK= AREA= # OF BLDGS= PARCEL#= 55182.1148 SINGLE WIDE MOBILE HOME - BUNK HOUSE 000129 PLAT NAME= LOT= 00000004 F/A= 2 # DWELLINGS= OWNER= STEPHENS, JACKIE STREET= 17303 E BOONE AVE ADDRESS= GREEN ACRES WA 99016 BACON'S ADD TO GREENACRES ZONE= UR -3.5 DIST#= A WIDTH= 325 DEPTH= 1 WATER DIST = G 622 R/W= 60 PHONE= 509 922 6463 CONTACT NAME= JACKIE STEPHENS PHONE NUMBER= 509 922 6463 BUILDING SETBACKS: FRONT= 100+ LEFT= 6 RIGHT= 10 REAR= 100+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING COMMENTS: SETBACK REVIEW REQUIRED Yob AG\UIT HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: 4/5/4 PLANNING INAPPROPRIATE USE WITHIN COMMENTS: ZONE N/A -93 ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 80/BUDDY SERIAL#= ITEM DESCRIPTION PHONE= MODEL= WIDTH= 14 LENGTH= 70 HEIGHT= 10 PLNG-PERMIT REVIEW; 119 INSPECTION FEE STATE SURCHARGE COUNTY SURCHARGE QUANTITY FEE AMOUNT Y Y Y 2 20.00 100.00 4.50 18.00 PROJECT NUMBER= 93004270 APPLICATION DATE= 06/03/93 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MOBILE HOME PMT 142.50 .00 142.50 142.50 PROCESSED BY: DOMITROVICH, ROBIN PRINTED BY: DOMITROVICH, ROBIN .00 142.50 ******************************** THANK YOU ************************************ Parcelnumbegs a-2 -//L/fj 1 APPLICATION' WORKSHEET General lnformation 0{3_ (/2_70 Jobaddressc. /7.503 V oN9 Owner Mailing address Phone S49- 9aa-ovaj uy ate ee16niees Stale Zip Site Information 1 Legal Description Property sae c _ Project Information Wathr Distract ep nili c7,4 Number el: Dwellings Rotdwldlh Puddings D d% B uA k -h(o use Woo s9 w, Change of use Permit Use I e � I N & Le -LO Der f'Ia $ C.G- To 6' Building Information ` Addition Remodel Square footage breakdown Main Moor Dwelling units Occupant load Budding height s Stones LnlialMalerul Building dimensions total square loolage Req'd parking Handicapparking Sprinkler system Mailing address Mailing address Square footage breakdown Main Moor Uncovered /covered deck Second Iloor Ulher Finished basement Plumbing contractor Unfinished basement . Garage License number Contractor Information` and insulaboa information • eat source R—values Io PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 Building contractor Plumbing contractor License number Phone License number Phone Mailing address Mailing address City, stale. zip City, slate. zip Beating contractor Other / Lender License number Phone License number Phone Mailing address Mailing address City, state, zap Cny, slate, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 D i• —to w -et rM 0,1 YA V. 41:,s\U re So o 3p FENGL. E 17303 BOON 1 Srgg = 02 re,