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
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Parcel numbe
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Mailing address
City
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Phone
Site Information
State
Zip
Legal Descnptton
Property size
Water District
Number oh Dwellings
Buildings
Project Information
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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
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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
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City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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