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1993, 12-22 Permit App: 93012107 MHPROJECT NUMBER= 93012107 APPLICATION DATE= 12/22/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17311 E COACH DR PARCEL#= 55192.0810 ADDRESS= GREENACRES WA 99016 PERMIT USE= SINGLE WIDE MOBILE HOME REPLACEMENT PLAT#= MH0002 PLAT NAME= APPLE VALLEY ESTATES BLOCK= 1 LOT= 13 ZONE= RMH DIST#= G AREA= 00009100 F/A= F WIDTH= 70 DEPTH= 130 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= EVERTS, EVELYN STREET= 17311 E COACH DR ADDRESS= GREENACRES WA 99016 CONTACT NAME= EVELYN EVERTS BUILDING SETBACKS: FRONT= 5 LEFT= 4 PHONE= PHONE NUMBER= RIGHT= 4 REAR= 4 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 1976 SERIAL#= ITEM DESCRIPTION PHONE= MODEL= BROADMORE WIDTH= 10 LENGTH= 50 HEIGHT= 12 QUANTITY FEE AMOUNT INSPECTION FEE 1 50.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 9.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 63.50 .00 63.50 63.50 PROCESSED BY: DAWN DOMPIER PRINTED BY: DAWN DOMPIER ******************************** THANK YOU .00 63.50 ************************************ APPLICATION WORKSI-TEET General Information ob add'ress /73// Coae_4 'e2SGL49% A Parcel numbe U` (1 e Mailing address City k5 /MeVg- Phone Site Information State Zip Legal Descnptton Property size Water District Number oh Dwellings Buildings Project Information yk-1970' IMS 1 — ® — U , gip¢ MOki — n J j 1 h New Addition Remodel Change of use L Building Information 1 Dwelhng units Occupant load Building height Stones Budding dimensions Total square lootage Keq'dparking Hand tcapparking Spnnklersystem Cntscat Matenni care footage breakdown a in floor Uncovered / covered deck Second floor Other Finished basement Floor Unfinished basement Door (u—value) Garage Furnace ellaxncy Contractor Information Heating and insulation information (R—values) Heat source Plat ceiling Vaulted ceiling Above grade wall 13elow grade wall Floor Slab on grade Door (u—value) Window Furnace ellaxncy 'Total window area ti % of floor area Building contractor Plumbing contractor i License number Phone License number Phone Mailing address Mailing address City, state, zip City, stale, zip Heating contractor Other% Lender License number Phone License number Phone Mailing address Mailing address City, Ma le, zip 7 City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 l� `:ilia r, c .724 Jr