2000, 10-17 Permit App: 00009496 MHProject Number: 00009496 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/17/2000 Page 1 of 2
Project Information:
Permit Use: PLACEMENT OF SINGLEWIDE MOBILE HOME
Setbacks: Front 345 Left: 30 Right: 30 Rear: 90
Site Information:
Plat Key: 000000 Name: UNKNOWN
Contact: FARRAR, KERRY
Address: 18423 E RIVERWAY RD
C - S Z: GREENACRES, WA 99016
Phone: (509) 892-9598
Group Name:
Project Name:
District: G
Parcel Number: 55074.0176
Block:
Lot:
SiteAddress: 18517 E RIVERWAY RD Owner: Name: FARRAR, KERRY
GREENACRES, WA USA 99 Address: 18423 E RIVERWAY RD
Location:: GRE GREENACRES, WA 99016
Zoning: SR -1
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Suburban Residential 1
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING (,
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Plan Review
Special Inspections Jr e
Sr SPS
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Approach / Drainage
0004 4111 t 610JNA /C
Project Number: 00009496 Inv: 1
Application
Date: 10/17/2000 Page 2 of 2
THIS IS NOT A PERMIT __
Penalties will be assessed for commencing work without a permit
BUILDING
TterterKVERRYs:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Shoreline Review -P. 41‘)
Landuse/Zoning 0.pc E_
-'? —q9 'k'
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Payment Summary:
Operator: DMD
Permit Type
Manufactured Home
Notes:
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 SECTIONS
1 Y OR BLANK
Printed By: DMD
Permit Total Fees:
Fee Amount
$50.00
$11.00
$61.00
Print Date: 10/17/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$61.00 $61.00
$61.00
$61.00
$0.00 $61.00
$0.00
$61.00
OCT -18-2000 09:37
Project Number: 00009496
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
,Praise I, formaron:
Await Use: PLACEMENT OF $1CNGLEWIDE MOBILE /SOME • Contact: FARRAR, KERRY ..
Address: 18423E RIVERWAY RD
C4SLZs GRONACRES,WA99016
Phone: (509) 892-9598
Group Name;
Sitsi pfprinBtionr Project Name:
P.01
Date; 10/17/2000 Pap 1 of 2
Setbacks: Front 345 Left 30 Right: 30 Rear: 90
Plat Key: 000000 Name: UNKNOWN
Parcel Number: 50074.0176
Block: Lot:
District: G
SiteAddreu: 18517 E &NOWAY RD Owner: Name: FARRAR, KERRY
GR EENACRES, WA USA 99 Addresa: 184231 RIVERWAY RD
Location:: ORE GREENACR&S, WA 99016
Zoning: SR -1 Suburban R.sidentipil 1
Water District
Hold: C]
Area; 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft); 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Rey4py 11041110104;
pailartmant Boasa
BUILDING Site Plan Review
Sold Reasons: .. .
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Plan Review
BUILDING L. 5 Special Impactions g
Hold Reasons:'" iDrt
Permit Conditions:
IAEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
ENGINEER Approaeh / Drainage
Hold Reasons:
T
Permit lid . AfArkk:4 N
1
11
SPOKANE CovlyrY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: f\i /Mb S
Assessor's Tax Parcel Number(s): c:r07L t 7G
0.) -ex '
Lc.f
Legal Description:
Project Description:
O Building Permit
dRelocation
O Change in Use
O Grading
TrManufactured Home Permit
11 Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted reQardinQ this Proiect
r% Owner:
%�
Ke ek�% RION
Phone: �j J ^s / e
c
Fax: g J,,Z`' f(
in Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip Gc.tG / /� r �yJy (
�7
City, State, Zip
❑ Contractor
Phone
Fax
Cl Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2' floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Width: t
Year: el 7
Length:
d
Make: pt
What is the square footage of the sign How high is the sign?
face?
# of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes L►f No
Ifyes, identify on site plan
What is the current property size?
(square feet or acres) / , l /gCQel-S
Is any part of the property within 250 feet o a shoreline?
If yes, identify on site plan Yes O No
What is Ih M ent use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes fir -No
Will the site be served by a septic system? (Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes 17/No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes 16 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identib on site plan O Yes fi'lyNo
Is there evidence of fill or excavation on the property? /
O Yes En "No
Are there slopes greater than 30% on the property? (30 rise in 100 ft)
(/ %) O Yes Lel No
Are critical or hazardous materials used or stored on site
O Yes 10 No
DEPARTMENT USE ONLY
Is t he property uuide the `A
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH 0 CHECK 0 MIME ❑ ' ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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