1994, 09-12 Permit App: 94008869 MHPROJECT NUMBER= 94008869 APPLICATION
DATE= 09/12/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
16506 E NIXON AVE PARCEL#= 4513$'.1120
SPOKANE WA 99216
PERMIT USE= TRIPLE WIDE MANUFACTURED HOME �',^
PLAT#= 005236 PLAT NAME= ARMSTRONG ESTATES ' 44
�l.(Y� � ��ig`2
BLOCK= a LOT=f-I ZONE=UR-3.5 DIST#=
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 136 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= ARMSTRONG, JERRY
STREET= 16506 E NIXON AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 9092
CONTACT NAME= JERRY ARMSTRONG PHONE NUMBER= 509 924 9092
BUILDING SETBACKS: FRONT= 30 LEFT= 12 RIGHT= 30 REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING REVIEW COORDINATOR - J SHATT ,L
COMMENTS:„Is el
0 Oful
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
fikeciftAitam
c7m0-/o0 oh 'V4X6-cr
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
jig-ee '00/7
t /fraf/fS#
PLANNING LAND USE ACTION REQ'D/INVOLVED C1-3/94/
1 -
COMMENTS:
'(z1[ C6 piA
0
PROJECT NUMBER= 94008869 APPLICATION DATE= 09/12/94 PAGE= 02
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1994 VALLEY QUALITY MODEL=
SERIAL#= WIDTH= 40 LENGTH= 48 HEIGHT= 00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
PLNG-PERMIT REVIEW; 119 Y 21.00
INSPECTION FEE 3 150.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 27.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 202.50 .00 202.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
202.50 .00
202.50
110.E •esn
(z 32.5(0
******************************** THANK YOU ************************************
APPLICATION INFORMATION
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Parcel number
Legal description
Zone
Inspector district
Property size
Right oUway width
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City, state - Zip
CONTACT
Phone
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PERMIT USE Uri n oLj co,`-' i/M,, ,P �j X
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Building New_ Change of use
Add Remodel
Building height
Stories
Contractor
Dimensions
Total square footage
License
Main floor
Unfinished basement
Address
Second floor
Finished basement
Architect/Engineer
Garage
Decks, etc.
Value
Manufactured Home
Sign
Width: )4{m /
Length: )O
Square footage
Height
Year. I Q (�
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Maker J 1 rp i) (`J an �c Q r
Contractor 1 (
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
Fuel Storage Tanks
(Circle one) Above -ground Underground
Swimming Pool
Contents
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
License
License
Address
Address
City, state, zip
City, state, zip
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16506 E. NIXON COURT
CORNER
. iRAIN,1.GE E?tSFIIENT
NORTH L
ELECTRICAL
PAD
48'
L R
F DR
B R B R
SHAMROCK STREET
KIT DI #2BA M BA
F R
UT M B R
D1
GARAGE
N
M
82'
DRAINAGE
EASEMENT
V
90'
4