1994, 05-26 Permit App: 94004767 MHPROJECT NUMBER= 94004767 APPLICATION
DATE= 05/26/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1402 N LONG RD PARCEL#= 55181.3826
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 000000
BLOCK= 46
AREA= 00000000
# OF BLDGS= 1
PLAT NAME= UNKNOWN
LOT= ZONE= UR -3.5 DIST#=
F/A= F WIDTH= 1300 DEPTH= 3480
DWELLINGS= 1 WATER DIST =
OWNER= BANCROFT, WILLIAM & BECKY
STREET= 1402 N LONG RD
ADDRESS= GREENACRES WA 99016
G
R/W= 60
PHONE= 509 927 8296
CONTACT NAME= WILLIAM OR BECKY BANCROFT PHONE NUMBER= 509 927 8296
BUILDING SETBACKS: FRONT= 113 LEFT= 25 RIGHT= 43 REAR= 110
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK
COMMENTS:4'1%1 C...),001.0k11.0L6
REVIEW REQUIRED
HEALTHDIST NEW OR ADDITIONAL
COMMENTS:
PLANNING
COMMENTS:
WASTE WATER
CA= IT e PLA4
ori r /�00
LAND USE ACTION REQ'D/INVOLVED
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*************�*GP-44*** ** MOBI E HOME PERMIT ** **** ********************
CONTRACTOR= OWNER
YR/MAKE= 94/LIBERTY
SERIAL#=
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 28 LENGTH= 66 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE
QUANTITY FEE AMOUNT
2
Y
Y
100.00
4.50
18.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
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PROJECT NUMBER= 94004767 APPLICATION DATE= 05/26/94 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 122.50 .00 122.50
122.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 122.50
******************************** THANK YOU ************************************
ll APPLICATION WORKSHEET L( (0-1
General Information
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Site Information
Legal Description/
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Water DWsict
Buildings
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inspector
Road width'
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Project Information
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Building Information
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Addition
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Remodel
Change of use
1
Dwelling units
Occupant loads
Building height
Stories /
Matenal
Buildmg dimensions
b x',?i"'
-Ibtal square footage
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Req'd parking
Handicap parking
Spnnkler system
Cntical
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square footage breakdown
Main floor
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Uncovered /covered deck
Second floor
Other
1^inished basement
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Unfinished basement
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Garage
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Contractor Information
Hearin, and insulation information R—values
' eat source
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Lice e number
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Phone
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City, state, zip
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Heating contractor
Buildin ntractor
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Plumbing contractor
Lice e number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
PROJECT COTACT
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PHONE
9;77-(1c
97o
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
ADDRESS: ti 101
ZONE
ROADMIDTH: C0(2
FRONT • Rime
COMMENTS:
REVIrED BY
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